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SHADI ZAKHOUR
NPI 1770456253
Clinic/Center - Developmental Disabilities in Bloomington, IN

Active since September 29, 2025
451 S PARK RIDGE RD # 101, BLOOMINGTON, IN 47401(812) 747-9384 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shadi Zakhour NPPES

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

SHADI ZAKHOUR (NPI 1770456253) is an individual developmental disabilities provider in Bloomington, Indiana and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1770456253
Entity TypeIndividualMale
Primary Taxonomy261QD1600X
Provider Legal NameSHADI ZAKHOUR
Location Address451 S PARK RIDGE RD # 101Bloomington, IN 47401-8589
Mailing Address1364 S Cobble Creek CirBloomington, IN 47401-7138 · (812) 505-9442
Phone(812) 747-9384
Sole ProprietorYes
Enumeration DateSeptember 29, 2025
NPPES CertifiedSeptember 29, 2025
✔ NPI 1770456253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
451 S PARK RIDGE RD # 101, Bloomington, IN 47401
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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HANNA TEAGUE
Behavior Technician
451 S PARK RIDGE RD # 101
BLOOMINGTON, IN 47401
Monroe County (812) 747-9384
GRACIE WALLACE
Behavior Technician
451 S PARK RIDGE RD # 101
BLOOMINGTON, IN 47401
Monroe County (812) 747-9384
MADISON HOLMBERG OT
Occupational Therapist
451 S PARK RIDGE RD # 101
BLOOMINGTON, IN 47401
Monroe County (812) 747-9384
JUSTIN D DAWSON RBT
Behavior Technician
451 S PARK RIDGE RD # 101
BLOOMINGTON, IN 47401
Monroe County (812) 747-9384
EDEN FISHER
Behavior Technician
451 S PARK RIDGE RD # 101
BLOOMINGTON, IN 47401
Monroe County (812) 747-9384
SUMMER THORNE RBT
Behavior Technician
451 S PARK RIDGE RD # 101
BLOOMINGTON, IN 47401
Monroe County (812) 747-9384
KATIE AGNEW
Behavior Technician
451 S PARK RIDGE RD # 101
BLOOMINGTON, IN 47401
Monroe County (814) 747-9384
MAYA ANTOINE ABBOUD
Behavior Technician
451 S PARK RIDGE RD # 101
BLOOMINGTON, IN 47401
Monroe County (812) 747-9384

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 Shadi Zakhour's NPI number?

The NPI number for Shadi Zakhour is 1770456253. It was assigned to this individual provider in the NPPES registry on September 29, 2025.

Where is Shadi Zakhour located?

Shadi Zakhour practices at 451 S Park Ridge Rd # 101, Bloomington, IN 47401. The listed phone number is (812) 747-9384.

What is Shadi Zakhour's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Shadi Zakhour was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.