Individual provider Active NPI

Paula Lutz, MPT

  • Physical Therapist
  • Crown Point, IN
National Provider Identifier
1902100993
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05010430A Issued in IN
Practice address
11055 Broadway Ste 3
Crown Point, IN 46307-9177
Phone
(219) 342-2869
NPI assigned
Jan 5, 2011
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05010430A IN Primary

Addresses

Primary practice location

11055 Broadway Ste 3
Crown Point, IN 46307-9177

Mailing address

PO Box 416501
Boston, MA 02241-6501
Phone (914) 294-4050

Other practice location 1

2202 LaPorte Ave
Valparaiso, IN 46383-5936
Phone (219) 462-7577

Other identifiers 2

IdentifierTypeStateIssuer
000000700991OtherINANTHEM
201006510MedicaidIN

Other names 1

  • Paula Watford Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110215000813 IN Practitioner - Physical Therapist in Private Practice 5294915724 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Massachusetts Medical School, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Therapy Specialists, PCGroup PAC ID 8224020748, 13 clinicians

Practice addresses (Care Compare)

3125 Calumet Ave
Suite 8
Valparaiso, IN 46383-2070
Phone (219) 548-8770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05010430AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Mar 30, 2015 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Mar 30, 2015 Accepting new patients
Orthopedic Therapy Specialists, PC CurrentSince Jun 20, 2022 Accepting new patients
Integrated Therapy Practice Physical Therapist Past Accepting new patients
Paige Maddex & Associates LLC PastSince Jul 31, 2023 Accepting new patients
Integrated Therapy Practice, PC Physical Therapist PastSince May 1, 2016 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

11055 Broadway
Ste E
Crown Point, IN 46307
Phone (219) 306-4050

2144 45th St
Highland, IN 46322
Phone (219) 301-7961

5949 W Raymond St
Indianapolis, IN 46241
Phone (317) 247-1579

1405 E Lincolnway
Ste B
La Porte, IN 46350
Phone (219) 380-0809

2202 Laporte Ave
Valparaiso, IN 46383
Phone (219) 286-3372

3125 Calumet Ave
Ste 8
Valparaiso, IN 46383
Phone (219) 464-9800

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1902100993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416501",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416501",
            "telephone_number": "914-294-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11055 BROADWAY STE 3",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463079177",
            "telephone_number": "219-342-2869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2202 LaPorte Ave",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463835936",
            "country_code": "US",
            "telephone_number": "219-462-7577",
            "fax_number": "219-462-7579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUTZ",
        "first_name": "PAULA",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-05",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05010430A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000700991",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201006510",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULA",
            "last_name": "WATFORD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.