Buckeye Speech Path LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

BUCKEYE SPEECH PATH LLC

Practice address

11925 Pearl Rd Ste 202
Strongsville, OH 44136-3343

Phone

(440) 334-9551

NPI assigned

Jun 14, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Nicole Sizler, SLPNPI 1770689366

Title

Managing Member

Phone

(440) 334-9551

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

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

• Nicole Diane Sizler, M.A.

  • Speech-Language Pathologist
  • Strongsville, OH
  • NPI 1770689366
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1124758073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17512 W 130TH ST",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441368032",
            "telephone_number": "440-334-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11925 PEARL RD STE 202",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441363343",
            "telephone_number": "440-334-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE SPEECH PATH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-14",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "SIZLER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "440-334-9551",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Strongsville, OH
• Providers in Strongsville, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.