Healthcare Provider Details

I. General information

NPI: 1982510921
Provider Name (Legal Business Name): STEPHANIE E SPICER OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 W 86TH ST
INDIANAPOLIS IN
46260-1902
US

IV. Provider business mailing address

8703 PINE LAKE CT
ELIZABETHTOWN IN
47232-9362
US

V. Phone/Fax

Practice location:
  • Phone: 131-733-8234
  • Fax:
Mailing address:
  • Phone: 812-595-7881
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number31009146A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: