Ingrid J Van Duivenbode, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT2381 Issued in ME

Practice address

1 Idexx Dr
Westbrook, ME 04092-2040

Phone

(207) 556-6802

NPI assigned

Jul 8, 2006

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

Other identifiers 1

Other names 1

• Ingrid J. Hatton Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: ingrid.vanduivenbode@int.eclinicaldirectplus.com

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.

• Intermed, PA

  • Physical Therapist
  • South Portland, ME
  • NPI 1578952446
  NPD (past)

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1619900263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GANNETT DR STE C",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041065900",
            "telephone_number": "207-347-2947",
            "fax_number": "207-874-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 IDEXX DR",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040922040",
            "telephone_number": "207-556-6802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "259 Main St",
            "address_purpose": "LOCATION",
            "city": "Yarmouth",
            "state": "ME",
            "postal_code": "040964703",
            "country_code": "US",
            "telephone_number": "207-780-8860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Foden Rd",
            "address_purpose": "LOCATION",
            "city": "South Portland",
            "state": "ME",
            "postal_code": "041061718",
            "country_code": "US",
            "telephone_number": "207-780-8860",
            "fax_number": "207-780-8857",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Campus Dr",
            "address_purpose": "LOCATION",
            "city": "Freeport",
            "state": "ME",
            "postal_code": "040332327",
            "country_code": "US",
            "telephone_number": "207-523-8550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Casco St",
            "address_purpose": "LOCATION",
            "city": "Freeport",
            "state": "ME",
            "postal_code": "040332327",
            "country_code": "US",
            "telephone_number": "207-523-8550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN DUIVENBODE",
        "first_name": "INGRID",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT2381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "338210099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "INGRID",
            "last_name": "HATTON",
            "middle_name": "J.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Isabella Turner, OT
• Sarah Elizabeth Underwood, LMSW-CC
• Priscilla Urban, LMT, CDT
• Catherine Lynn Vajda, MA CCC/SLP
• Stephanie Valentini
• Betsy Ellen Vanbetuw, LCSW
• Miguel A. Velazquez, D.O.
• Dana L Villmore, PA
• Elizabeth Marie Vincent, OT
• Michael Louis Viricel, MSPT

• Physical Therapist in Westbrook, ME
• Providers in Westbrook, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.