Active NPI
Otter Speech Therapy LLC
- Speech-Language Pathologist
- Fergus Falls, MN
National Provider Identifier
1043010986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julia Irene Lakoduk, MS CCC SLP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Fergus Falls, MN
- NPI 1962973453
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
- Alexis Ormsby
- Orthopedic & Sports Physical Therapy, Inc.
- Elizabeth Ostrowski, MS, ATC, CSCS
- Heidi A Ottenbacher, OD
- Otter Express Joint Powers Board
- Otter Tail County Auditor (Otter Tail County Public Health)
- Otter Tail County Human Services
- Otter Tail Podiatry Associates, P.a.
- Otter Tail Podiatry P.C.
- Ottertail Dental
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.