Indy Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

INDY PHYSICAL THERAPY

Practice address

831 Broad Ripple Ave
Indianapolis, IN 46220-1960

Phone

(317) 849-3517

Fax

(317) 849-6397

NPI assigned

Jun 21, 2007

Organization subpart

No

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

Authorized official

Name

Pete Manzelli, MPT

Title

Owner/Ceo

Phone

(317) 849-3517

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Indy Physical Therapy PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Indy Physical Therapy, P.C.

  • Physical Therapist
  • Indianapolis, IN
  • NPI 1538365283
  NPD tax ID

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1235335985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50370",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462500370",
            "telephone_number": "317-849-3517",
            "fax_number": "317-849-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 BROAD RIPPLE AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462201960",
            "telephone_number": "317-849-3517",
            "fax_number": "317-849-6397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDY PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "MANZELLI",
        "authorized_official_first_name": "PETE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "317-849-3517",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/BCBS",
            "identifier": "000000505369",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Indy on Time Non Emergency Medical Transportation LLC
• Indy Pain & Injury Centers LLC
• Indy Pain Solutions LLC
• Indy Pediatric Occupational Therapy LLC
• Indy Personal Home Care LLC
• Indy Physical Therapy
• Indy Physical Therapy, P.C.
• Indy Physical Therapy, P.C.
• Indy Precision Learning LLC
• Indy Rehab & Health Services

• Physical Therapist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.