MEDICARE: PEDIATRIC SPECIALTY ASSOCIATES, INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	224Z00000X	Occupational Therapy Assistant
2	225100000X	Physical Therapist
3	2251P0200X	Pediatric Physical Therapist
4	235Z00000X	Speech-Language Pathologist
5	373H00000X	Day Training/Habilitation Specialist
6	252Y00000X	Early Intervention Provider Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336212638
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEDIATRIC SPECIALTY ASSOCIATES, INC

Provider Business Mailing Address
First Line	:	6437 RUCKER RD STE D
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46220-4868
Country	:	US
Telephone Number	:	317-405-9016
Fax Number	:	888-654-4116

Provider Business Practice Location Address
First Line	:	6437 RUCKER RD STE D
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46220-4868
Country	:	US
Telephone Number	:	317-405-9016
Fax Number	:	888-654-4116

Authorized Official
Title or Position	:	OWNER/DIRECTOR
Name	:	MRS. CYNTHIA HOLTZ
Credential	:
Telephone Number	:	317-405-9016

Provider Enumeration Date	:	11/16/2006
Last Update Date	:	05/13/2022

Similar Medicare Providers

1467308874 — MS. ALEXIS HARDIN
Practice Location Address:

6437 RUCKER RD STE A
INDIANAPOLIS, IN
46220-4868

Practice Phone: 317-756-9818
Practice Fax: 463-242-5584

1073828208 — MRS. AIMEE E FESSENDEN
Practice Location Address:

6437 RUCKER RD STE D
INDIANAPOLIS, IN
46220-4868

Practice Phone: 317-405-9016
Practice Fax:

1538475199 — DR. RICHARD J GALE PSYD, HSPP
Practice Location Address:

6437 RUCKER RD STE C
INDIANAPOLIS, IN
46220-4868

Practice Phone: 317-426-6318
Practice Fax: 317-516-0924

1164828349 — ARIN ANDREWS OTR
Practice Location Address:

6437 RUCKER RD STE D
INDIANAPOLIS, IN
46220-4868

Practice Phone: 317-405-9016
Practice Fax: 888-654-4116

1982159976 — MRS. MORGAN LEAH BACKES OTR
Practice Location Address:

6437 RUCKER RD STE D
INDIANAPOLIS, IN
46220-4868

Practice Phone: 317-405-9016
Practice Fax:

1346784626 — FAMILY AND COMMUNITY SOLUTIONS INC
Practice Location Address:

6437 RUCKER RD STE E
INDIANAPOLIS, IN
46220-4868

Practice Phone: 317-679-4181
Practice Fax:

Directions to “PEDIATRIC SPECIALTY ASSOCIATES, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.