Indy Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

53000103A Issued in IN

Legal business name

INDY PHYSICAL THERAPY

Practice address

5250 E US Highway 36
Ste 420
Avon, IN 46123-9199

Phone

(317) 849-3517

Fax

(317) 849-6397

NPI assigned

Jul 20, 2007

Organization subpart

No

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

Authorized official

Name

Pete C Manzelli

Title

Owner/MPT

Phone

(317) 849-3517

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter Christopher Manzelli, P.T.

  • Physical Therapist
  • Fishers, IN
  • NPI 1205905106
  NPD (past)

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1669672242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 E US HIGHWAY 36",
            "address_2": "STE 420",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461239199",
            "telephone_number": "317-849-3517",
            "fax_number": "317-849-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 E US HIGHWAY 36",
            "address_2": "STE 420",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461239199",
            "telephone_number": "317-849-3517",
            "fax_number": "317-849-6397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDY PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "MANZELLI",
        "authorized_official_first_name": "PETE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/MPT",
        "authorized_official_telephone_number": "317-849-3517"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "53000103A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/BCBS",
            "identifier": "000000505369",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Indiana University Health West Hospital Inc
• Indiana University Health West Hospital, Inc
• Indiana University Health West Hospital, Inc
• Indiana University Health, Inc
• Indianapolis Neurosurgical Group
• Brena Lee Ingersol, NP
• Rene S Ingle, RN
• Robert Neal Ingram, NP
• Bruce Christopher Inman, M.D.
• Integrative Health Care Services of Indiana

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.