Provider Demographics
NPI:1679455125
Name:CHELMELLA, PAYTON (OTD, OTR/L)
Entity type:Individual
Prefix:
First Name:PAYTON
Middle Name:
Last Name:CHELMELLA
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:PAYTON
Other - Middle Name:
Other - Last Name:NEMETH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1622 N PASADENA ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46219-2626
Mailing Address - Country:US
Mailing Address - Phone:765-881-2758
Mailing Address - Fax:
Practice Address - Street 1:10080 E 121ST ST STE 112
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46037-4211
Practice Address - Country:US
Practice Address - Phone:317-813-1780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist