| Organization Name: | INDY PHYSICAL THERAPY |
| NPI Number: | 1669672242 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PETE C MANZELLI (OWNER/MPT) |
| Mailing Address: | 5250 E Us Highway 36 Ste 420 Avon |
| State: | IN US |
| Postal Code: | 461239199 |
| Phone Number: | 3178493517 |
| Fax Number: | 3178496397 |
| NPI Enumeration Date: | 07/20/2007 |
| NPI Last Update Date: | 11/27/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 53000103A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |