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NPI Code Detail

MEDICARE: TRAVIS RIPPE OTD, OTR

MEDICARE: TRAVIS RIPPE OTD, OTR
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
1225X00000XOccupational Therapist31007803AIN

General Provider Information

NPI Number : 1295614717
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRAVIS RIPPE OTD, OTR
Provider Business Mailing Address
First Line : 1917 E STOP 12 RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46227-6275
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2001 W 86TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-1902
Country : US
Telephone Number : 317-415-8111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2025
Last Update Date : 08/28/2025

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Directions to “ TRAVIS RIPPE OTD, OTR” Practice Location

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