INDIGO PHYSIOTHERAPY, LLC (NPI# 1871070748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871070748 |
| Entity Type | Organization |
| Organization Name | INDIGO PHYSIOTHERAPY, LLC |
| Practice Address |
600 Wyndhurst Avenue Suite 102 Baltimore MD 21210 |
| Practice Telephone | 4106013991 |
| Practice Fax Number | 4438859984 |
| Mailing Telephone | 4106013991 |
| Mailing Fax Number | 4438859984 |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2018-07-24 |
| Authorized Official Name | DR. SAMANTHA DUFLO (OWNER/FOUNDER, PHYSICAL THERAPIST) |
| Authorized Official Telephone | 4106013991 |
| Authorized Official Credential | PT, DPT, PRPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | INDIGO PHYSIOTHERAPY, LLC | 600 Wyndhurst Ave Ste 102, Baltimore, MD 21210-2424 |
| Street Address |
600 WYNDHURST AVENUE SUITE 102 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758527 | Mechelle Suezette Norris | Physical Medicine & Rehabilitation | Loyola University Maryland Athletics, 4501 N Charles St., Baltimore, MD 21210 | 2020-04-07 |
| 1164086906 | Lee Ann Kingham | Psychologist | 4301 Roland Springs Drive, Baltimore, MD 21210 | 2019-04-26 |
| 1669994505 | Stephen J Condouris | Nurse Practitioner | 4544 Keswick Rd, Baltimore, MD 21210 | 2017-07-12 |
| 1477942555 | John Alan Singer | Surgery | 24 Roland Green, Baltimore, MD 21210 | 2015-01-13 |
| 1710306816 | David Schaffer | Specialist/Technologist | 4501 North Charles St., Loyola University, Baltimore, MD 21210 | 2014-04-16 |
| 1306121538 | Carrie Anne Runde | Naturopath | 4800 Roland Avenue, Suite 201, Baltimore, MD 21210 | 2011-10-19 |
| 1699057109 | Eugenia A Lombardi | Clinical Nurse Specialist | 4502a N Charles St., Baltimore, MD 21210 | 2011-09-12 |
| 1629394192 | Loch Raven Pharmacy Inc | Pharmacy | 200 West Cold Spring Lane, Baltimore, MD 21210 | 2010-04-09 |
| 1922249572 | Julie F. Sanz | Nurse Practitioner | 4502a N. Charles St., Shs, Baltimore, MD 21210 | 2009-03-11 |
| 1679712988 | Lauren Susanne Scott | Social Worker | Village Square 2, Suite 259, Baltimore, MD 21210 | 2009-02-10 |
| Find all providers in zip 21210 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736984 | Dawn Maria Seestedt | Physical Therapist | 2501 Poplar Dr, Baltimore, MD 21207-6032 | 2020-10-06 |
| 1023615929 | Nicholas Alan Ritter | Physical Therapist | 2709 Hampden Ave, Baltimore, MD 21211-3031 | 2020-10-04 |
| 1265048227 | Rehab At Home, LLC | Physical Therapist | 6514 Edenvale Rd, Baltimore, MD 21209-2721 | 2020-09-16 |
| 1811501281 | Jeffery Alexander Diorio | Physical Therapist | 1316 Light St Apt B, Baltimore, MD 21230-4077 | 2020-09-03 |
| 1790302172 | National Rehabiliation Hospital, Inc | Physical Therapist | 3333 N Calvert St Ste 210, Baltimore, MD 21218-2867 | 2020-07-01 |
| 1528688413 | Lawrence Arthur Adams | Physical Therapist | 1608 Light St, Baltimore, MD 21230-4917 | 2020-04-21 |
| 1457971517 | Jennifer Marcus | Physical Therapist | 3505 Shelburne Rd, Baltimore, MD 21208-5630 | 2020-04-19 |
| 1043844897 | Apex Diagnostics LLC | Physical Therapist | 2700 Lighthouse Pt E Ste 405, Baltimore, MD 21224-4777 | 2020-03-02 |
| 1073152500 | Jason Seltzer | Physical Therapist | 21 S Robinson St, Baltimore, MD 21224-2256 | 2020-01-01 |
| 1568013811 | Erika Opoku | Physical Therapist | 1332 Northview Rd, Baltimore, MD 21218-1445 | 2019-09-26 |
| Find all providers in BALTIMORE | ||||
Please comment or provide details below to improve the information on INDIGO PHYSIOTHERAPY, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.