Active NPI
Nurturing Mama, LLC
- Physical Therapist
- Newburgh, IN
National Provider Identifier
1245949015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- NURTURING MAMA, LLC
- Practice address
- 4711 Vann Rd
Newburgh, IN 47630-7447 - Phone
- (812) 760-1344
- NPI assigned
- Nov 21, 2022
- Reactivated
- Mar 3, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shandli Joyce
- Title
- Manager
- Phone
- (812) 760-1344
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
4711 Vann Rd
Newburgh, IN 47630-7447
Mailing address
4711 Vann Rd
Newburgh, IN 47630-7447
Phone (812) 760-1344
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Newburgh, IN
- NPI 1639501059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740960000000",
"number": "1245949015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4711 VANN RD",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476307447",
"telephone_number": "812-760-1344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4711 VANN RD",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476307447",
"telephone_number": "812-760-1344"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NURTURING MAMA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-21",
"last_updated": "2025-03-03",
"certification_date": "2022-11-19",
"deactivation_date": "2023-10-16",
"reactivation_date": "2025-03-03",
"status": "A",
"authorized_official_last_name": "JOYCE",
"authorized_official_first_name": "SHANDLI",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "812-760-1344"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newburgh, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.