Organization
INDY PHYSICAL THERAPY
Active
Other names
Indy PhysioTherapy
Organization subpart
No
Provider details
NPI number
Authorized official
NIDAL EL BARIDI PT (OWNER)
(317) 849-3517
Entity
Organization
Contact information
Practice address
7950 N SHADELAND AVE, SUITE 200, INDIANAPOLIS, IN 46250-2691
(317) 849-3517
(317) 849-6397
Mailing address
PO BOX 50370, INDIANAPOLIS, IN 46250-0370
(317) 849-3517
(317) 849-6397
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05005794A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000282200
ANTHEM ID NUMBER
IN
Enumeration date
09/29/2005
Last updated
08/22/2020
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