Active NPI
Stephanie Van Slyke, OTD, OTR/L
- Pediatric Occupational Therapist
- Fishers, IN
National Provider Identifier
1255155578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 31006739A
- Practice address
- 9783 E 116TH St # 245
Fishers, IN 46037-2822 - Phone
- (815) 278-2515
- NPI assigned
- Nov 13, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 31006739A | IN | Primary |
Addresses
Primary practice location
9783 E 116TH St # 245
Fishers, IN 46037-2822
Mailing address
70 S 15TH St
Richmond, IN 47374-5606
Phone (815) 278-2515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31006739A | IN | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marsh Monsters LLC | Pediatrics | Current | Accepting new patients |
Locations
9783 E 116th St
Fishers, IN 46037
Phone (317) 537-7222
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731456000000",
"number": "1255155578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 S 15TH ST",
"city": "RICHMOND",
"state": "IN",
"postal_code": "473745606",
"telephone_number": "815-278-2515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9783 E 116TH ST # 245",
"city": "FISHERS",
"state": "IN",
"postal_code": "460372822",
"telephone_number": "815-278-2515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN SLYKE",
"first_name": "STEPHANIE",
"name_prefix": "Dr.",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-13",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "IN",
"license": "31006739A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fishers, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.