OrganizationActive
Pediatric Specialty Associates, Inc
NPI 1336212638 · Early Intervention Provider Agency · Indianapolis, IN
Provider details
- NPI number
- 1336212638
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Cynthia Holtz, Owner/Director(317) 405-9016
Specialties & taxonomies
Agencies
- Occupational Therapy Assistant224Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Pediatric Physical Therapist2251P0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
- Day Training/Habilitation Specialist373H00000X
Nursing Service Related Providers
Practice location
6437 Rucker Rd Ste D
Indianapolis, IN 46220-4868
Phone: (317) 405-9016
Fax: (888) 654-4116
Approximate (ZIP-level) locationGet directions
Mailing address
6437 Rucker Rd Ste D
Indianapolis, IN 46220-4868
Registry dates
- Enumerated
- 2006-11-16
- Last updated
- 2022-05-13
- Certified
- 2022-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.