Maria Johanna Abatayo, PT

Individual provider Active NPI Physical Therapist · Brownsburg, IN

NPI 1548038995 · NPPES record last updated Dec 15, 2023

Key facts

NPI
1548038995
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
05004386A (IN)
Practice address
2 E Tilden Dr
Brownsburg, IN 46112-1648
Phone
(317) 852-8585
NPI assigned
Dec 15, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anew Therapy and Wellness LLC (29 clinicians)

Practice addresses (Care Compare)

1450 E Crossing Blvd
Core Therapy and Wellness Honey Cre
Terre Haute, IN 47802-5316
Phone (812) 298-8209

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240123001101 IN Practitioner - Physical Therapist in Private Practice 2769834035 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Anew Therapy & Wellness LLC Physical Therapist Current
since Feb 1, 2024
Accepting new patients
Anew Therapy & Wellness LLC Physical Therapist Current
since Feb 1, 2024
Accepting new patients

Locations

6900 Gray Rd
Indianapolis, IN 46237
Phone (317) 788-2500

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05004386A IN Yes

Addresses

Primary practice location

2 E Tilden Dr
Brownsburg, IN 46112-1648

Mailing address

2 E Tilden Dr
Brownsburg, IN 46112-1648
Phone (317) 852-8585

Other providers in Brownsburg, IN

All providers in Brownsburg, IN · Physical Therapist in Indiana

Sources for this page

Verify at the official NPI Registry.