Healthcare Provider Details

I. General information

NPI: 1841844578
Provider Name (Legal Business Name): SUMMIT THERAPY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2019
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 8TH AVE NE STE 3
DEMOTTE IN
46310-9596
US

IV. Provider business mailing address

120 8TH AVE NE STE 3
DEMOTTE IN
46310-9596
US

V. Phone/Fax

Practice location:
  • Phone: 513-907-9294
  • Fax:
Mailing address:
  • Phone: 219-863-5888
  • Fax: 855-753-0064

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MEGAN ROWLAND
Title or Position: OWNER
Credential: MOT, OTR
Phone: 513-907-9294