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DR. SUSAN CALDECOTT-JOHNSON MD NPI 1902999055


NPI Information

NPI: 1902999055
Provider Name: DR. SUSAN CALDECOTT-JOHNSON, MD
Classification: Physical Medicine & Rehabilitation - 2081P0010X
Entity Type: Individual

Specialization: Pediatric Rehabilitation Medicine

PECOS Registration: Yes

Address:
7120 CLEARVISTA DR
SUITE 5300
INDIANAPOLIS, IN
ZIP 46256
Phone: (317) 621-0104
Get Directions

DR. Susan Caldecott-johnson, MD 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. DR. Susan Caldecott-johnson, MD NPI is 1902999055. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7120 CLEARVISTA DR
SUITE 5300
INDIANAPOLIS, IN
ZIP 46256-621
Phone: (317) 621-0104
Fax: (317) 621-0111

The NPI 1902999055 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 3/13/2014.


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 MedicineTEMPORARYTEXASNo
2208100000XPhysical Medicine & Rehabilitation01043182AINDIANANo
32081P0010XPhysical Medicine & RehabilitationPediatric Rehabilitation Medicine01043182AINDIANAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000000661927OTHERINDIANAANTHEM
2200014600MEDICAIDINDIANA
3F99393MEDICARE UPIN
4F99393MEDICARE UPININDIANA
5M400033538MEDICARE PININDIANA

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.