Sarah Marie Petullo, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

001796 Issued in IA

Practice address

2901 Cedar St
Norwalk, IA 50211-9736

Phone

(877) 407-3422

Fax

(877) 407-4329

NPI assigned

Oct 17, 2007

Last updated

Apr 26, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fox Rehab SLP Ia PLLC

  • Speech-Language Pathologist
  • Norwalk, IA
  • NPI 1427719947
  Medicare reassignment NPD
• Taylor Physical Therapy Associates LLC

  • Physical Therapist
  • Sumner, IA
  • NPI 1861591745
  Medicare reassignment NPD

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745625600000",
    "number": "1023207883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 4TH ST SW STE 103A",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506774389",
            "telephone_number": "319-352-6400",
            "fax_number": "319-352-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 CEDAR ST",
            "city": "NORWALK",
            "state": "IA",
            "postal_code": "502119736",
            "telephone_number": "877-407-3422",
            "fax_number": "877-407-4329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1810 4th St SW Ste 103A",
            "address_purpose": "LOCATION",
            "city": "Waverly",
            "state": "IA",
            "postal_code": "506774389",
            "country_code": "US",
            "telephone_number": "319-352-6400",
            "fax_number": "319-352-4655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETULLO",
        "first_name": "SARAH",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-17",
        "last_updated": "2025-04-26",
        "certification_date": "2025-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "001796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "Fox Rehab SLP IA PLLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2901 Cedar St",
            "city": "Norwalk",
            "state": "IA",
            "country_code": "US",
            "postal_code": "502119736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Daniel Scott Oswald, DO
• Pamela J Young, OD PLC
• Parent Enrichment Program
• Carmen C Pesante
• Beatriz Reis Pescatore, LMFT
• Tonna Phiv, COTA-L
• Physiotherapy Associates, Inc. (Select Physical Therapy)
• Pinnacle Health Facilities Xvii LP (Norwalk Nursing and Rehabilitation Center)
• Avi Place
• Allison Nicole Pochop, PT, DPT

• Speech-Language Pathologist in Norwalk, IA
• Providers in Norwalk, IA by specialty
• Speech-Language Pathologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.