Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Daiane Souza Ingold

Individual provider Physical Therapist · NPI 1245123801

Daiane Souza Ingold is a Physical Therapist in Private Practice in Nottingham, Maryland. Qualified in 2017, 9 years ago. Practices with Johns Hopkins Community Physicians, Inc, a 765-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
9
Licensed in
MD
In the registry since
2025
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Practice location Address checks out

4924 Campbell Blvd Ste 130A
Nottingham, MD 21236-5909
Phone: (443) 442-2810
Fax: (443) 442-2808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6225 Smith Ave Ste B300, Baltimore, MD 21209-3613 — (667) 306-9919

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 30382 (MD)

Record details

NPI number1245123801
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 2, 2025
Last updated in NPPESJune 18, 2025
Certification dateJune 18, 2025
Mailing address4924 Campbell Blvd Ste 130a, Nottingham, MD 21236-5909

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Johns Hopkins Community Physicians, Inc — 765 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Nottingham