Provider Type Icon

PEDIATRIC REHABILITATION OF INDIANA INC NPI 1629286794


NPI Information

NPI: 1629286794
Provider Name: PEDIATRIC REHABILITATION OF INDIANA, INC
Classification: Physical Medicine & Rehabilitation - 2081P0010X
Entity Type: Organization

Specialization: Pediatric Rehabilitation Medicine

Address:
3825 N MERIDIAN ST
INDIANAPOLIS, IN
ZIP 46208
Phone: (361) 548-5270
Get Directions

PEDIATRIC REHABILITATION OF INDIANA, INC is a pediatric rehabilitation medicine physical medicine rehabilitation in Indianapolis, IN. The provider is a physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care. PEDIATRIC REHABILITATION OF INDIANA, INC NPI is 1629286794. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3825 N MERIDIAN ST
INDIANAPOLIS, IN
ZIP 46208-018
Phone: (361) 548-5270

The provider's authorized official is Susan Caldecott Dieterich .
The authorized official title is Owner and has the following contact phone number (361) 548-5270.

The enumeration date for this NPI number is 5/20/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12081P0010XPhysical Medicine & RehabilitationPediatric Rehabilitation Medicine01043182AINDIANAYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.