OrganizationActive
Pediatric Specialty Associates, Inc
NPI 1346628492 · Early Intervention Provider Agency · Indianapolis, IN
Provider details
- NPI number
- 1346628492
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Donna Holtz, Owner(317) 405-9016
- License
- 22005410A (IN)
Specialties & taxonomies
Agencies
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6437 Rucker Rd
Suite D
Indianapolis, IN 46220-4885
Phone: (317) 405-9016
Street-level locationGet directions
Mailing address
6437 Rucker Rd
Indianapolis, IN 46220-4885
Registry dates
- Enumerated
- 2015-05-09
- Last updated
- 2015-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.