Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pediatric Rehabilitation of Indiana, Inc

Organization Pediatric Rehabilitation Medicine Physician · NPI 1629286794

Pediatric Rehabilitation of Indiana, Inc is a Pediatric Rehabilitation Medicine Physician in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2007.

Licensed in
IN
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3825 N Meridian St
Indianapolis, IN 46208-4018
Phone: (361) 548-5270
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Rehabilitation Medicine Physician (primary) Taxonomy 2081P0010X · Licence 01043182A (IN)

Record details

NPI number1629286794
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Dieterich — Owner · (361) 548-5270
NPI enumeratedMay 20, 2007
Last updated in NPPESAugust 22, 2020
Mailing address5006 Deer Park Cir, Corpus Christi, TX 78413-6027

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