Healthcare Provider Details

I. General information

NPI: 1144351107
Provider Name (Legal Business Name): STEPHANIE WOOD O.T.R.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2902 W 86TH ST SUITE 160
INDIANAPOLIS IN
46268-5900
US

IV. Provider business mailing address

12955 PRARIE RIDGE CT.
FISHERS IN
46256
US

V. Phone/Fax

Practice location:
  • Phone: 317-228-9163
  • Fax: 317-228-0205
Mailing address:
  • Phone: 317-578-8388
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XN1300X
TaxonomyNeurorehabilitation Occupational Therapist
License Number31000607A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code225XR0403X
TaxonomyDriving and Community Mobility Occupational Therapist
License Number31000607A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: