Marlene Rerucha

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP8352 Issued in OH

Practice address

1560 Henthorne Dr
Maumee, OH 43537-1371

Phone

(419) 866-5275

NPI assigned

Apr 12, 2011

Sex

Female

Sole proprietor

No

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.

• Aegis Group Practice LLC

  • Physical Therapist
  • Mansfield, OH
  • NPI 1093389751

  OH, Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • East Lansing, MI
  • NPI 1700451374

  MI, Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Virginia Beach, VA
  • NPI 1043966864
  Care Compare group
• Aegis Group Practice LLC

  • Physical Therapist
  • Indianapolis, IN
  • NPI 1083227169
  Care Compare group
• Aegis Group Practice LLC

  • Physical Therapist
  • Germantown, TN
  • NPI 1174308647
  Care Compare group
• Aegis Group Practice LLC

  • Physical Therapist
  • Lisle, IL
  • NPI 1275259798
  Care Compare group
• Aegis Group Practice LLC

  • Physical Therapist
  • Murray, UT
  • NPI 1275304495
  Care Compare group
• Aegis Group Practice LLC

  • Physical Therapist
  • Suwanee, GA
  • NPI 1295412773
  Care Compare group
• Aegis Group Practice LLC

  • Physical Therapist
  • Onalaska, WI
  • NPI 1306336565
  Care Compare group
• Aegis Group Practice LLC

  • Physical Therapist
  • Boise, ID
  • NPI 1346949443
  Care Compare group
• Aegis Group Practice LLC

  • Physical Therapist
  • Fort Smith, AR
  • NPI 1417340126
  Care Compare group
• Aegis Group Practice LLC

  • Physical Therapist
  • Green Valley, AZ
  • NPI 1417666884
  Care Compare group

Specialty

Qualified Speech Language Pathologist

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aegis Group Practice LLC 399 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in MI, OH2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

The complete record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302566400000",
    "number": "1003106907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 HENTHORNE DR",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371371",
            "telephone_number": "419-866-5275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 HENTHORNE DR",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371371",
            "telephone_number": "419-866-5275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RERUCHA",
        "first_name": "MARLENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-12",
        "last_updated": "2011-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP8352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATE NPI",
            "identifier": "1609899061",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra K Reichard, LISW
• Carmen L Reid, REGISTERED NURSE
• Reliance Home Care LLC
• Amy L Remer, MA, CCC-SLP
• Renaissance Wellness & Healing LLC
• Meranda Resendez, LPN
• Residential Home Health of NW Oh, LLC
• Residential Hospice, LLC
• Residential Hospice, LLC
• Resurgence Residential Solutions LLC

• All providers in Maumee, OH
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.