David Allen Anzelmo, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05003680A Issued in IN

Practice address

3270 Intertech Drive
Angola, IN 46703

Phone

(260) 668-7752

Fax

(260) 668-7552

NPI assigned

Feb 13, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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 IN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Angola Physical Therapy, Inc.

  • Physical Therapist
  • Angola, IN
  • NPI 1588721005
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528100997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 LANE 650 D SNOW LAKE",
            "city": "FREMONT",
            "state": "IN",
            "postal_code": "46737",
            "telephone_number": "260-833-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3270 INTERTECH DRIVE",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "46703",
            "telephone_number": "260-668-7752",
            "fax_number": "260-668-7552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANZELMO",
        "first_name": "DAVID",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05003680A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angola Dental Services, P.C. (Angola Dental Center)
• Angola Family Chiropractic & Integrative Healing Center, LLC
• Angola Family Dentistry, LLC (Gabet Family Dentistry)
• Angola Obstetrics & Gynecology PC
• Angola Physical Therapy, Inc.
• Elizabeth Maria Anzelmo, P.T.
• Aperion Care Angola LLC (Aperion Care Angola)
• Arcadia Healthcare Solutions, Inc.
• Michaella Ash, FNP-C
• Grey Preston Baals, O.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.