PEDIATRIC REHABILITATION OF INDIANA, INC
NPI 1629286794
Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine in Indianapolis, IN

Active since May 20, 2007
3825 N MERIDIAN ST, INDIANAPOLIS, IN 46208(361) 548-5270 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Rehabilitation Of Indiana, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC REHABILITATION OF INDIANA, INC (NPI 1629286794) is a healthcare organization registered as a pediatric rehabilitation medicine in Indianapolis, Indiana and active in the NPI registry since May 2007. The organization lists Susan Caldecott Dieterich, Owner, as its authorized official.

NPPES Registry Identity

NPI1629286794
Entity TypeOrganization
Primary Taxonomy2081P0010X
Legal Business NamePEDIATRIC REHABILITATION OF INDIANA, INC
Location Address3825 N MERIDIAN STIndianapolis, IN 46208-4018
Mailing Address5006 Deer Park CirCorpus Christi, TX 78413-6027 · (361) 548-5270
Organization SubpartNo
Authorized OfficialSusan Caldecott DieterichOwner · (361) 548-5270
Enumeration DateMay 20, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1629286794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & Rehabilitation · Pediatric Rehabilitation MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P0010X
License Licensed in IN · 01043182A
Definition
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.
3825 N MERIDIAN ST, Indianapolis, IN 46208

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Rehabilitation Of Indiana, Inc's NPI number?

The NPI number for Pediatric Rehabilitation Of Indiana, Inc is 1629286794. It was assigned to this organization in the NPPES registry on May 20, 2007.

Where is Pediatric Rehabilitation Of Indiana, Inc located?

Pediatric Rehabilitation Of Indiana, Inc is located at 3825 N Meridian St, Indianapolis, IN 46208. The listed phone number is (361) 548-5270.

What is Pediatric Rehabilitation Of Indiana, Inc's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pediatric Rehabilitation Medicine, with taxonomy code 2081P0010X.

When was this NPI record last updated?

The NPPES record for Pediatric Rehabilitation Of Indiana, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.