Individual provider Active NPI

Sarah Maenle, MS CCC-SLP

  • Speech-Language Pathologist
  • Defiance, OH
National Provider Identifier
1043601321
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
9642 Issued in OH
Practice address
1200 Ralston Ave
Total Rehab
Defiance, OH 43512-1396
Phone
(419) 783-6943
Fax
(419) 783-4421
NPI assigned
Feb 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 9642 OH Primary

Addresses

Primary practice location

1200 Ralston Ave
Total Rehab
Defiance, OH 43512-1396

Mailing address

1200 Ralston Ave
Total Rehab
Defiance, OH 43512-1396
Phone (419) 783-6943

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
9642OHMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423699200000",
    "number": "1043601321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 RALSTON AVE",
            "address_2": "TOTAL REHAB",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435121396",
            "telephone_number": "419-783-6943",
            "fax_number": "419-783-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 RALSTON AVE",
            "address_2": "TOTAL REHAB",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435121396",
            "telephone_number": "419-783-6943",
            "fax_number": "419-783-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAENLE",
        "first_name": "SARAH",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-09",
        "last_updated": "2015-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "9642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Defiance, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.