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

Individual provider Occupational Therapist · NPI 1639449523

Udana Dalise Vergnaud, OTR is an Occupational Therapist in Private Practice in Indianapolis, Indiana. Qualified in 2001, 25 years ago. Practices with Creative Health Care Management LLC, a 88-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
25
Licensed in
IN
In the registry since
2012
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

8616 W 10th St
Indianapolis, IN 46234-2167
Phone: (317) 209-2332
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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 310036684A (IN)

Record details

NPI number1639449523
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorNo
NPI enumeratedJanuary 9, 2012
Last updated in NPPESJanuary 9, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Creative Health Care Management Llc — 88 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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