CHILDREN'S THERAPY INNOVATIONS INC. NPI 1407166192

NPI Information

NPI: 1407166192
Provider Name: CHILDREN'S THERAPY INNOVATIONS INC.
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Doing Business As: CTI AGING AND REHABILITATIVE SERVICES
Address: 2012 IRONWOOD CIR STE 230
SOUTH BEND, IN
ZIP 46635
Phone: (574) 387-4049

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NPI Details

CHILDREN'S THERAPY INNOVATIONS INC. is an intermediate care facility mentally retarded in South Bend, IN. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. CHILDREN'S THERAPY INNOVATIONS INC. NPI is 1407166192. The provider is registered as an organization entity type.
The provider Is Doing Business As Cti Aging And Rehabilitative Services.

The provider's business location address is:

2012 IRONWOOD CIR STE 230
SOUTH BEND, IN
ZIP 46635-889
Phone: (574) 387-4049
Fax: (574) 387-4062

The provider's authorized official is Lydia B Otiato .
The authorized official title is President and has the following contact phone number (574) 387-4049.

The enumeration date for this NPI number is 10/14/2010 and was last updated on 12/31/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Primary
1	252Y00000X	Early Intervention Provider Agency	No
2	315P00000X	Intermediate Care Facility, Intellectual Disabilities	Yes
3	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	No
4	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	201131520A	MEDICAID	INDIANA
2	201234930A	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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