Healthcare Provider Details

I. General information

NPI: 1144226143
Provider Name (Legal Business Name): REHABILITATION INSTITUTE OF INDIANAPOLIS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2005
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2437 N MERIDIAN ST
INDIANAPOLIS IN
46208-5731
US

IV. Provider business mailing address

2437 N MERIDIAN ST
INDIANAPOLIS IN
46208-5731
US

V. Phone/Fax

Practice location:
  • Phone: 317-924-4505
  • Fax: 317-924-5223
Mailing address:
  • Phone: 317-924-4505
  • Fax: 866-724-5223

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: SHERRI BOUCHER
Title or Position: OFFICE ADMINISTRATOR
Credential:
Phone: 317-924-4505