MEDICARE: CREATEABILITY CONCEPTS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225CA2500X	Assistive Technology Supplier Rehabilitation Counselor

General Provider Information

NPI Number	:	1033885900
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CREATEABILITY CONCEPTS, INC.

Provider Business Mailing Address
First Line	:	5068 EVANSTON DR.
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46205
Country	:	US
Telephone Number	:	317-728-6670
Fax Number	:

Provider Business Practice Location Address
First Line	:	5068 EVANSTON DR.
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46205
Country	:	US
Telephone Number	:	317-728-6670
Fax Number	:

Authorized Official
Title or Position	:	MARKETING & COMMUNICATIONS MANAGER
Name	:	KERRI PINGER
Credential	:
Telephone Number	:	317-646-7142

Provider Enumeration Date	:	08/19/2021
Last Update Date	:	08/12/2022

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