MEDICARE: REHABILITATION INSTITUTE OF INDIANAPOLIS INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000097377	OTHER	IN	ANTHEM BC/BS
2	RE524070	OTHER	IN	CHILDRENS SPECIAL HEALTH
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144226143
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REHABILITATION INSTITUTE OF INDIANAPOLIS INC.

Provider Business Mailing Address
First Line	:	2437 N MERIDIAN ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46208-5731
Country	:	US
Telephone Number	:	317-924-4505
Fax Number	:	866-724-5223

Provider Business Practice Location Address
First Line	:	2437 N MERIDIAN ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46208-5731
Country	:	US
Telephone Number	:	317-924-4505
Fax Number	:	317-924-5223

Authorized Official
Title or Position	:	OFFICE ADMINISTRATOR
Name	:	SHERRI BOUCHER
Credential	:
Telephone Number	:	317-924-4505

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	10/13/2025

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