Individual provider Active NPI

Lourdes Bayot Espiritu, PT

  • Physical Therapist
  • South Bend, IN
National Provider Identifier
1982934667
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
4010 S Ironwood Dr
South Bend, IN 46614-2200
Phone
(574) 216-4510
NPI assigned
Jan 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 05005874A IN
Physical Therapist 225100000X Primary
Geriatric Physical Therapist 2251G0304X 5501005923 MI

Addresses

Primary practice location

4010 S Ironwood Dr
South Bend, IN 46614-2200

Mailing address

54548 Oak Leaf Dr
Mishawaka, IN 46545-1863
Phone (574) 904-4380

Other practice location 1

1220 E Jackson Blvd
Elkhart, IN 46516-4419
Phone (574) 333-9747

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221220002422 IN Practitioner - Physical Therapist in Private Practice 6800922097 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Outpatient ServicesGroup PAC ID 6507264165, 10 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

1220 E Jackson Blvd
Elkhart, IN 46516-4419
Phone (574) 333-9747

820 Fulmer Rd
Mishawaka, IN 46544-7006
Phone (574) 252-5792

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05005874AINMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services, Inc. Physical Therapist CurrentSince Mar 24, 2025 Accepting new patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Mar 24, 2025 Accepting new patients
Creative Health Care Management LLC Physical Therapist CurrentSince Dec 1, 2022 Accepting new patients
Creative Health Care Management LLC Physical Therapist CurrentSince Dec 1, 2022 Accepting new patients
Senior Outpatient Services Physical Therapist CurrentSince Jun 16, 2023 Accepting new patients
Orthopedic and Sports Physical Therapy Center, Inc Past Accepting new patients

Locations

300 E Washington Blvd
Fort Wayne, IN 46802
Phone (260) 422-5511

3630 Hickory Rd
Mishawaka, IN 46545
Phone (574) 252-7225

10 S 9th St
Ste 4
Noblesville, IN 46060

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1262390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1982934667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54548 OAK LEAF DR",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465451863",
            "telephone_number": "574-904-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 S IRONWOOD DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466142200",
            "telephone_number": "574-216-4510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1220 E Jackson Blvd",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465164419",
            "country_code": "US",
            "telephone_number": "574-333-9747",
            "fax_number": "574-367-2369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESPIRITU",
        "first_name": "LOURDES",
        "middle_name": "BAYOT",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-02",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "IN",
            "license": "05005874A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "MI",
            "license": "5501005923",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.