Healthcare Provider Details

I. General information

NPI: 1114020252
Provider Name (Legal Business Name): HAND SURGERY ASSOCIATES OF INDIANA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2006
Last Update Date: 09/20/2024
Certification Date: 09/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8501 HARCOURT ROAD
INDIANAPOLIS IN
46260-2046
US

IV. Provider business mailing address

8501 HARCOURT ROAD
INDIANAPOLIS IN
46260-2046
US

V. Phone/Fax

Practice location:
  • Phone: 317-875-9105
  • Fax: 317-872-6873
Mailing address:
  • Phone: 317-875-9105
  • Fax: 317-872-6873

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANGELA STEVENSON
Title or Position: CEO
Credential:
Phone: 317-471-4489