Provider Demographics
NPI:1821160805
Name:VISION REHABILITATIVE SERVICES, INC.
Entity Type:Organization
Organization Name:VISION REHABILITATIVE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROSEMARY
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMOUR
Authorized Official - Suffix:
Authorized Official - Credentials:COTA
Authorized Official - Phone:317-228-9163
Mailing Address - Street 1:PO BOX 11323
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46201-0323
Mailing Address - Country:US
Mailing Address - Phone:317-228-9163
Mailing Address - Fax:317-228-0205
Practice Address - Street 1:2902 W 86TH ST
Practice Address - Street 2:SUITE 160
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46268-5900
Practice Address - Country:US
Practice Address - Phone:317-228-9163
Practice Address - Fax:317-228-0205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201330Medicare ID - Type Unspecified