PEDIATRIC SPECIALTY ASSOCIATES, INC (NPI# 1346628492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346628492 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC SPECIALTY ASSOCIATES, INC |
| Practice Address |
6437 Rucker Rd Suite D Indianapolis IN 46220-4885 |
| Practice Telephone | 3174059016 |
| Mailing Telephone | 3174059016 |
| Enumeration Date | 2015-05-09 |
| Last Update Date | 2015-05-09 |
| Authorized Official Name | DONNA HOLTZ (OWNER) |
| Authorized Official Telephone | 3174059016 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 252Y00000X | Early Intervention Provider Agency | 22005410A | IN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | INDIANA SPEECH LANGUAGE LICENSE | 22005410A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336212638 | Pediatric Specialty Associates, Inc | Occupational Therapy Assistant | 8820 Anchor Bay Ct, Indianapolis, IN 46236-8210 | 2006-11-16 |
| Street Address |
6437 RUCKER RD SUITE D |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46220-4885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275690166 | Dr Benjamin E Blakley Dds | Dentist | 6437 Rucker Rd, 6437 Rucker Rd, Indianapolis, IN 46220 | 2007-01-02 |
| 1477107605 | Ryane Nolting | Speech-Language Pathologist | 6437 Rucker Rd, Indianapolis, IN 46220-4885 | 2019-07-25 |
| 1336705771 | Kari Durham | Physical Therapist | 6437 Rucker Rd, Indianapolis, IN 46220-4885 | 2019-05-10 |
| 1629553722 | Elizabeth J Corbolotti | Developmental Therapist | 6437 Rucker Rd, Indianapolis, IN 46220-4885 | 2018-09-25 |
| 1447733126 | Kris K Wu | Developmental Therapist | 6437 Rucker Rd, Indianapolis, IN 46220-4885 | 2018-09-10 |
| 1669952974 | Paige Elizabeth Boggs | Occupational Therapist | 6437 Rucker Rd, Indianapolis, IN 46220-4885 | 2018-08-16 |
| 1609392125 | Nikeytha Monique Ramsey | Speech-Language Pathologist | 6437 Rucker Rd, Indianapolis, IN 46220-4885 | 2017-08-16 |
| 1871036947 | Lori Lautenschlager | Occupational Therapist | 6437 Rucker Rd, Indianapolis, IN 46220-4885 | 2016-11-22 |
| 1598212979 | Hillary Lupo | Speech-Language Pathologist | 6437 Rucker Rd, Indianapolis, IN 46220-4885 | 2016-09-02 |
| 1295188795 | Mallory Krkoska | Speech-Language Pathologist | 6437 Rucker Rd, Suite D, Indianapolis, IN 46220-4885 | 2016-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184255168 | Know The Drill, LLC | Dentist | 6284 Rucker Road, Suite G, Indianapolis, IN 46220 | 2020-01-29 |
| 1902361017 | Stephanie Jean Tellus | Physical Therapist | 5620 Carvel Ave, Indianapolis, IN 46220 | 2019-02-02 |
| 1861972879 | Ashley M Pondexter | Counselor | 820 E 64th St, Indianapolis, IN 46220 | 2018-08-19 |
| 1649766403 | Amy Yonan | Social Worker | 3830 Rue Delacroix, Indianapolis, IN 46220 | 2018-07-05 |
| 1295226066 | Royal Comfort Home Care | In Home Supportive Care | 2804 55th Pl Ste K, Indianapolis, IN 46220 | 2018-05-28 |
| 1104322148 | Jessica Lynn Neidlinger | Counselor | 819 E 64th St Ste 220, Indianapolis, IN 46220 | 2018-03-30 |
| 1497273494 | Squareone Wellness | Nurse Practitioner | 5422 N Keystone Ave, Indianapolis, IN 46220 | 2017-08-30 |
| 1356866834 | Andrea Elaine Tennancour | Nurse Practitioner | My Mobile Md LLC, 7007 Graham Road Suite 215, Indianapolis, IN 46220 | 2017-08-07 |
| 1346762283 | Nicole Shields | Specialist/Technologist | 6020 Carvel Ave, 1234 Unit, Indianapolis, IN 46220 | 2017-07-12 |
| 1972033389 | Laurie Budlong-morse | Marriage & Family Therapist | 815 E 63rd Pl Ste 204, Indianapolis, IN 46220 | 2017-06-18 |
| Find all providers in zip 46220 | ||||
| Taxonomy Code | 252Y00000X |
| Grouping | Agencies |
| Classification | Early Intervention Provider Agency |
| Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. |
| Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396021010 | Activate Healthcare PC | Early Intervention Provider Agency | 6340 N Ewing St, Indianapolis, IN 46220-4424 | 2011-10-26 |
| 1144522210 | Actuvate Healthcare LLC | Early Intervention Provider Agency | 6340 North Ewing St, Indianapolis, IN 46220 | 2010-11-23 |
| 1508175316 | J & J Pediatric Therapies LLC | Early Intervention Provider Agency | 7257 Stones River Dr, Indianapolis, IN 46259-5807 | 2010-09-28 |
| 1205149143 | Kristin's Care LLC | Early Intervention Provider Agency | 9658 Geist Woods Way, Indianapolis, IN 46256-9630 | 2010-07-21 |
| 1629228242 | Kids Theraplay, Inc. | Early Intervention Provider Agency | 11133 Cowan Lake Ct, Indianapolis, IN 46235-6846 | 2008-09-19 |
| 1235745662 | Tamera A. Cheviron | Early Intervention Provider Agency | 1100 W 42nd St Ste 228, Indianapolis, IN 46208-3300 | 2020-09-21 |
| 1336752997 | Michelle Flora | Early Intervention Provider Agency | 1100 W 42nd St Ste 228, Indianapolis, IN 46208-3300 | 2020-08-24 |
| 1659633758 | Livinghope Consulting & Counseling Inc. | Early Intervention Provider Agency | 6350 Westhaven Dr, Suite F, Indianapolis, IN 46254-2744 | 2012-06-13 |
| 1164725446 | Prokids, Inc. | Early Intervention Provider Agency | 6923 Hillsdale Ct, Indianapolis, IN 46250-2054 | 2010-12-08 |
| 1184933046 | M&m Communications, P.C. | Early Intervention Provider Agency | 4827 E 72nd St, Indianapolis, IN 46250-2501 | 2010-09-27 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46220 |
Please comment or provide details below to improve the information on PEDIATRIC SPECIALTY ASSOCIATES, INC.
| 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.