Healthcare Provider Details

I. General information

NPI: 1285554790
Provider Name (Legal Business Name): CHEYANNE ROBBINS OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 E MAIN ST APT A
NEW PALESTINE IN
46163-1123
US

IV. Provider business mailing address

111 E MAIN ST APT A
NEW PALESTINE IN
46163-1123
US

V. Phone/Fax

Practice location:
  • Phone: 317-504-0406
  • Fax:
Mailing address:
  • Phone: 317-504-0406
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number31009124A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: