Organization Active NPI

Otter Speech Therapy LLC

  • Speech-Language Pathologist
  • Fergus Falls, MN
National Provider Identifier
1043010986
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
OTTER SPEECH THERAPY LLC
Practice address
123 W Lincoln Ave Ste 6
Fergus Falls, MN 56537-2133
Phone
(218) 321-0808
NPI assigned
Mar 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Authorized official

Name
Julia Irene Lakoduk, MS CCC SLPNPI 1962973453
Title
Speech Language Pathologist
Phone
(218) 321-0808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary
Hearing and Speech Clinic/Center 261QH0700X

Addresses

Primary practice location

123 W Lincoln Ave Ste 6
Fergus Falls, MN 56537-2133

Mailing address

123 W Lincoln Ave Ste 6
Fergus Falls, MN 56537-2133
Phone (218) 321-0808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250611000073 MN Part B Supplier - Clinic/Group Practice 7719497528 Receives reassigned benefits from 1 practitioner
Practice locations: Fergus Falls, MN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1742256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1043010986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 W LINCOLN AVE STE 6",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565372133",
            "telephone_number": "218-321-0808",
            "fax_number": "218-210-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 W LINCOLN AVE STE 6",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565372133",
            "telephone_number": "218-321-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTER SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "LAKODUK",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "218-321-0808",
        "authorized_official_credential": "MS CCC SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fergus Falls, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.