MEDICARE: JENNIFER NICOLE RACETTE D.P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251X0800X	Orthopedic Physical Therapist	070.014871	IL
2	225100000X	Physical Therapist	05012457A	IN

General Provider Information

NPI Number	:	1114035045
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER NICOLE RACETTE D.P.T.

Provider Business Mailing Address
First Line	:	751 E PORTER AVE STE 2
Second Line	:
City	:	CHESTERTON
State	:	IN
Zip	:	46304-9111
Country	:	US
Telephone Number	:	219-926-5850
Fax Number	:	219-250-2072

Provider Business Practice Location Address
First Line	:	751 E PORTER AVE STE 2
Second Line	:
City	:	CHESTERTON
State	:	IN
Zip	:	46304-9111
Country	:	US
Telephone Number	:	219-926-5850
Fax Number	:	219-250-2072

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	01/22/2019

Similar Medicare Providers

1538158134 — DR. JAY TIMOTHY AMES MD
Practice Location Address:

751 E PORTER AVE STE 5
CHESTERTON, IN
46304-9111

Practice Phone: 219-767-4858
Practice Fax: 219-406-8129

1295219368 — CHESTERTON FAMILY DENTAL
Practice Location Address:

751 E PORTER AVE STE 1
CHESTERTON, IN
46304-9111

Practice Phone: 219-929-9289
Practice Fax:

1811550601 — J. TIMOTHY AMES, MD PC
Practice Location Address:

751 E PORTER AVE STE 5
CHESTERTON, IN
46304-9111

Practice Phone: 219-767-4858
Practice Fax: 219-413-9682

1013762194 — MRS. SARAH LERCH ED.S
Practice Location Address:

751 E PORTER AVE STE 1
CHESTERTON, IN
46304-9111

Practice Phone: 219-786-1582
Practice Fax:

1285071464 — MS. TONIA M KITCHEL ED.S., IPE
Practice Location Address:

751 E PORTER AVE STE 1
PORTER, IN
46304-9111

Practice Phone: 219-786-1582
Practice Fax:

1336675834 — AKSHAY LAKRA MD
Practice Location Address:

601 GATEWAY BLVD N
CHESTERTON, IN
46304-9658

Practice Phone: 219-921-1444
Practice Fax: 219-250-5205

Directions to “ JENNIFER NICOLE RACETTE D.P.T.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.