Pediatric Specialty Associates, Inc

LBN: Pediatric Specialty Associates, Inc
Pediatric Specialty Associates, Inc is an health care organization with primary practice located at 6437 Rucker Rd Ste D , Indianapolis IN 46220-4868. The organization recently has 6 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Agencies / Early Intervention Provider Agency, Nursing Service Related Providers / Day Training/Habilitation Specialist. Agencies / Early Intervention Provider Agency is the primary health care specialty. Pediatric Specialty Associates, Inc can be contacted via phone (317) 405-9016, or through Holtz, Cynthia via phone (317) 405-9016.

Contact Information

Primary practice address
6437 Rucker Rd Ste D Indianapolis IN 46220-4868
Phone: (317) 405-9016
Fax: (888) 654-4116
Website:
Map and Directions
Authorized official contact:
Name: Holtz, Cynthia
Phone: (317) 405-9016

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Agencies / Early Intervention Provider Agency 252Y00000X
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X

Profile Details

NPI number 1336212638
LBN Legal business name Pediatric Specialty Associates, Inc
DBA Doing business as
Authorized official Holtz, Cynthia
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2006
Last updated May 13th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336212638 NPPES
Indiana MEDICAID 200717440

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