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

MS. Vivien Virtudazo, PT

Individual provider Physical Therapist · NPI 1992988430

MS. Vivien Virtudazo, PT is a Physical Therapist in Private Practice in Carmel, Indiana. Qualified in 2002, 24 years ago. Practices as a sole proprietor. Licensed in Indiana.

Years since qualifying
24
Licensed in
IN
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

118 Medical Drive Lifespan Therapy
Carmel, IN 46032
Phone: (317) 573-1037
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 05009263A (IN)

Record details

NPI number1992988430
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedDecember 6, 2007
Last updated in NPPESMay 23, 2016
Mailing address2941 Seasons Dr, Greenwood, IN 46143-6799

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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