Healthcare Provider Details

I. General information

NPI: 1760310080
Provider Name (Legal Business Name): OWN IT PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 N MADISON AVE
GREENWOOD IN
46142-3565
US

IV. Provider business mailing address

3167 N CAPITOL AVE
INDIANAPOLIS IN
46208-4625
US

V. Phone/Fax

Practice location:
  • Phone: 574-344-1970
  • Fax:
Mailing address:
  • Phone: 574-344-1970
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANDREW PINGEL
Title or Position: OWNER
Credential: PT, DPT
Phone: 574-344-1970