PEDIATRIC SPECIALTY ASSOCIATES, INC (NPI# 1336212638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336212638 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC SPECIALTY ASSOCIATES, INC |
| Practice Address |
8820 Anchor Bay Ct Indianapolis IN 46236-8210 |
| Practice Telephone | 3178261853 |
| Practice Fax Number | 3178261938 |
| Mailing Telephone | 3178261853 |
| Mailing Fax Number | 3178261938 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. DONNA E HOLTZ (PRESIDENT) |
| Authorized Official Telephone | 3178261853 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 224Z00000X | Occupational Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| X | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| X | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| X | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346628492 | Pediatric Specialty Associates, Inc | Early Intervention Provider Agency | 6437 Rucker Rd, Suite D, Indianapolis, IN 46220-4885 | 2015-05-09 |
| Street Address |
8820 ANCHOR BAY CT |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46236-8210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962575019 | Lesley Pearson | Physical Therapist | 8820 Anchor Bay Ct, Indianapolis, IN 46236-8210 | 2006-11-16 |
| 1760785463 | Maureen Thomison | Occupational Therapist | 8820 Anchor Bay Ct, Indianapolis, IN 46236-8210 | 2010-12-19 |
| 1366759458 | Karen Dezelan | Occupational Therapist | 8820 Anchor Bay Ct, Indianapolis, IN 46236-8210 | 2010-09-10 |
| 1073848941 | Nicole Lynn Amsler | Physical Therapist | 8820 Anchor Bay Ct, Indianapolis, IN 46236-8210 | 2009-10-12 |
| 1154551430 | Erin Shea | Occupational Therapist | 8820 Anchor Bay Ct, Indianapolis, IN 46236-8210 | 2009-07-21 |
| 1952531618 | Miranda Paris | Physical Therapist | 8820 Anchor Bay Ct, Indianapolis, IN 46236-8210 | 2009-07-15 |
| 1841430477 | Claudia Henderson | Speech-Language Pathologist | 8820 Anchor Bay Ct, Indianapolis, IN 46236-8210 | 2009-02-22 |
| 1376782722 | Danielle M Thompson | Occupational Therapist | 8820 Anchor Bay Ct, Indianapolis, IN 46236-8210 | 2009-02-09 |
| 1164691036 | Anita Lukemeyer | Developmental Therapist | 8820 Anchor Bay Ct, Indianapolis, IN 46236-8210 | 2008-02-26 |
| 1477730471 | Beth Taggart | Occupational Therapist | 8820 Anchor Bay Ct, Indianapolis, IN 46236-8210 | 2008-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770110918 | Renew Hearing, Inc | Hearing Instrument Specialist | 6116 Chadworth Way, Indpls, IN 46236 | 2020-03-26 |
| 1942771290 | Dakenya Shae Mcduffy | Counselor | 12522 Tealwood Dr, Indianapolis, IN 46236 | 2018-12-16 |
| 1558864538 | April Krowel | Psychologist | 7962 Oaklandon Rd Ste 109, Indianapolis, IN 46236 | 2018-03-15 |
| 1114210721 | Theresa Ann Kennedy Patton | Counselor | 11925 E 65th St Ste 3, Indianapolis, IN 46236 | 2011-05-16 |
| 1114249257 | Kathy Burgoa | Massage Therapist | 7962 Oaklandon Rd Ste 106h, Indianapolis, IN 46236 | 2010-02-16 |
| 1831311307 | Lifetime Dental Care of Indiana, PC | Dentist | 11683 Fox Road, Indianapolis, IN 46236 | 2007-05-03 |
| 1003861287 | Ryan Campbell Jay | Dentist | 12110 Pendleton Pike, Indianapolis, IN 46236 | 2006-05-24 |
| 1639736028 | Jashana Pearl Whiting | Counselor | 12522 Tealwood Dr, Indianapolis, IN 46236 | 2019-05-21 |
| 1285123356 | Betty D'amico | Social Worker | 6414 Oaklandon Rd, Indianapolis, IN 46236 | 2018-05-04 |
| 1699162131 | Sarah Mcclain | Pediatrics | 8150 Oaklandon Rd Ste 130, Indianapolis, IN 46236 | 2015-04-22 |
| Find all providers in zip 46236 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164056016 | Amy Elizabeth Shreve | Occupational Therapy Assistant | 6434 E Raymond St, Indianapolis, IN 46203-5053 | 2020-03-01 |
| 1720554785 | Laurie Ann Rotramel | Occupational Therapy Assistant | 916 Burbank Rd, Indianapolis, IN 46219-5023 | 2018-10-17 |
| 1841656014 | Whitley Pruitt | Occupational Therapy Assistant | 7908 Carlton Arms Rd, Indianapolis, IN 46256-2807 | 2016-01-04 |
| 1144602327 | Angel Mcneal | Occupational Therapy Assistant | 8034 E 36th Pl, Indianapolis, IN 46226-5938 | 2015-06-24 |
| 1114338423 | April Edmonds | Occupational Therapy Assistant | 3550 N Kenwood Ave, Indianapolis, IN 46208-4423 | 2014-05-09 |
| 1528484607 | Jennifer Beason | Occupational Therapy Assistant | 622 E 56th St, Indianapolis, IN 46220-3134 | 2014-03-12 |
| 1659794543 | Rachel Adams | Occupational Therapy Assistant | 6525 Moss Creek Place, Indianapolis, IN 46237 | 2014-01-28 |
| 1083055065 | Sugar Harshaw | Occupational Therapy Assistant | 4438 N Kenmore Rd, Indianapolis, IN 46226-3524 | 2013-07-08 |
| 1538409388 | Brenda J Gibbs Golder | Occupational Therapy Assistant | 10515 Hermosa Dr, Indianapolis, IN 46236-8162 | 2013-02-14 |
| 1316208010 | Herbert Pierre Weatherford Jr. | Occupational Therapy Assistant | 12332 Teacup Way, Indianapolis, IN 46235-6128 | 2012-05-30 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46236 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.