Daiane Souza Ingold

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

30382 Issued in MD

Practice address

4924 Campbell Blvd Ste 130a
Nottingham, MD 21236-5909

Phone

(443) 442-2810

Fax

(443) 442-2808

NPI assigned

Jun 2, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Johns Hopkins Community Physicians, IncGroup PAC ID 8325943707, 764 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Johns Hopkins Community Physicians, Inc

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1578598868
  Medicare reassignment Care Compare group NPD
• Johns Hopkins Community Physicians

  • Clinical Social Worker
  • Baltimore, MD
  • NPI 1356161806
  NPD
• Johns Hopkins Community Physicians

  • Physical Medicine & Rehabilitation Physician
  • Columbia, MD
  • NPI 1437970373
  NPD

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

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1245123801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4924 CAMPBELL BLVD STE 130A",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212365909",
            "telephone_number": "443-442-2810",
            "fax_number": "443-442-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4924 CAMPBELL BLVD STE 130A",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212365909",
            "telephone_number": "443-442-2810",
            "fax_number": "443-442-2808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6225 Smith Ave Ste B300",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212093613",
            "country_code": "US",
            "telephone_number": "667-306-9919",
            "fax_number": "410-367-3345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INGOLD",
        "first_name": "DAIANE",
        "middle_name": "SOUZA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "30382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emem A Ibanga, CRNP-PMH
• Ideal Pain Management, LLC
• Austin Ikein
• Esweni Ikein, LCPC
• Felicisimo Infante
• Jerald Insel, M.D.
• Jessie Elizabeth Isaacs, DDS
• Meaghan Isaacs, SLP
• Kira Isbert
• Paula Joy Ison, PMHNP-BC

• Physical Therapist in Nottingham, MD
• Providers in Nottingham, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.