Individual provider Active NPI

Sarah Kindervater, SLP

  • Speech-Language Pathologist
  • Oxford, MS
National Provider Identifier
1114277076
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
S4523 Issued in MS
Practice address
1488 Belk Blvd
Oxford, MS 38655-5356
Phone
(662) 855-0012
NPI assigned
Sep 18, 2012
Last updated
Feb 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA11835 FL
Speech-Language Pathologist 235Z00000X S4523 MS Primary

Addresses

Primary practice location

1488 Belk Blvd
Oxford, MS 38655-5356

Mailing address

711 Avignon Dr
Ridgeland, MS 39157-5120
Phone (601) 605-6777

Other identifiers 1

IdentifierTypeStateIssuer
SA11835OtherFLFL LICENSE NUMBER

Other names 1

  • Sarah Slusak Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241127003284 NY Practitioner - Qualified Speech Language Pathologist 4385179373 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Metro Care Providers PT PLLCGroup PAC ID 2163872201, 12 clinicians

Practice addresses (Care Compare)

170 Murray St
Auburn, NY 13021-1335
Phone (718) 627-8100

2981 Town Ctr Rd
Baldwinsville, NY 13027-8120
Phone (315) 638-9207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SA11835FLMDSpeech-Language Pathologist
S4523MSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Care Providers PT, PLLC CurrentSince Sep 22, 2024 Accepting new patients
Achieve Occupational Therapy and Physical Therapy of Brooklyn, PLLC CurrentSince Nov 14, 2025 Accepting new patients
Home-Based Physical Therapy PLLC Speech-Language Pathologist PastSince Mar 4, 2020 Accepting new patients

Locations

170 Murray St
Auburn, NY 13021
Phone (315) 253-2755

2981 Town Center Rd
Baldwinsville, NY 13027
Phone (315) 638-9207

813 Quentin Rd
Ste 106
Brooklyn, NY 11223
Phone (718) 506-9663

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1114277076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 AVIGNON DR",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391575120",
            "telephone_number": "601-605-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1488 BELK BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555356",
            "telephone_number": "662-855-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINDERVATER",
        "first_name": "SARAH",
        "name_prefix": "Ms.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-18",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA11835",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S4523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL LICENSE NUMBER",
            "identifier": "SA11835",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "SLUSAK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oxford, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.