Individual ProviderMariah PisockyjOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1502 W Edgewood Ave, Indianapolis, IN 46217-9291(317) 791-9031PECOS EnrollmentBased on the most recent information from CMS, provider Mariah Pisockyj does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1487538468Provider TypeIndividualFull NamePisockyj, MariahGenderFemaleSole ProprietorNoEnumeration Date8/4/2025Last Updated8/4/2025Contact InformationPractice LocationPractice Address1502 W Edgewood Ave, Indianapolis, IN 46217-9291Phone(317) 791-9031Fax(317) 791-9001Mailing LocationMailing Address1502 W Edgewood Ave, Indianapolis, IN 46217-9291PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense31008795AIndiana