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

Mr. Ryan Peacock, OTR

Individual provider Occupational Therapist · NPI 1912297482

Mr. Ryan Peacock, OTR is an Occupational Therapist in Marion, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2011
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

4714 S Colonial Oaks Dr
Marion, IN 46953-7308
Phone: (765) 674-2261
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 31004681A (IN)

Record details

NPI number1912297482
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR
Sole proprietorYes
NPI enumeratedApril 18, 2011
Last updated in NPPESApril 18, 2011
Mailing address3650 Meadow View Dr, Kokomo, IN 46902-5070

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