Provider Demographics
NPI:1356165161
Name:CLOUD NINE PHYSICAL THERAPY
Entity type:Organization
Organization Name:CLOUD NINE PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR/PT
Authorized Official - Prefix:
Authorized Official - First Name:SAKSHI
Authorized Official - Middle Name:
Authorized Official - Last Name:NANDAL
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:908-328-4611
Mailing Address - Street 1:7133 SAYERS RD
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46259-2512
Mailing Address - Country:US
Mailing Address - Phone:908-809-0004
Mailing Address - Fax:
Practice Address - Street 1:5370 E THOMPSON RD STE G
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46237-2107
Practice Address - Country:US
Practice Address - Phone:908-328-4611
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-09
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty