Individual provider Active NPI

Katie A. Ryther, MS, CCC-SLP

  • Speech-Language Pathologist
  • Oakdale, MN
National Provider Identifier
1154643294
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
7550 16TH Street CT N
Oakdale, MN 55128-5515
Phone
(763) 200-6256
NPI assigned
Feb 16, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2021

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 Primary

Addresses

Primary practice location

7550 16TH Street CT N
Oakdale, MN 55128-5515

Mailing address

7550 16TH Street CT N
Oakdale, MN 55128-5515
Phone (763) 200-6256

Other practice location 1

6776 Lake Dr
220
Lino Lakes, MN 55014-1191
Phone (651) 784-7007

Other practice location 2

8928 36th St N
Lake Elmo, MN 55042-9420
Phone (763) 706-7601

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240814002888 MN Practitioner - Qualified Speech Language Pathologist 6002354636 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Ryther Speech and Language Services LLC Speech-Language Pathologist CurrentSince Jun 26, 2022 Accepting new patients
Fairview Express Care CurrentSince Sep 9, 2024 Accepting new patients
Fairview Express Care Current Accepting new patients
Healtheast Outpatient Services, LLC Speech-Language Pathologist CurrentSince Sep 9, 2024 Accepting new patients
Fairview Express Care CurrentSince Sep 9, 2024 Accepting new patients
Fairview Health Services Past Accepting new patients
Advance Speech Therapy, LLC Speech-Language Pathologist PastSince Aug 29, 2015 Accepting new patients
Advance Occupational Therapy, LLC PastSince Mar 7, 2015 Accepting new patients

Locations

3305 Central Park Village Dr
Ste 130
Eagan, MN 55121
Phone (651) 406-8701

2945 Hazelwood St
Ste 320
Maplewood, MN 55109
Phone (612) 273-1172

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

3305 Central Park Village Dr
#130
Saint Paul, MN 55121

1570 Beam Ave
Ste 300
Saint Paul, MN 55109
Phone (651) 232-2550

1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740

9680 Tamarack Rd
Ste 130
Woodbury, MN 55125
Phone (612) 273-1172

1825 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1154643294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 16TH STREET CT N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551285515",
            "telephone_number": "763-200-6256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 16TH STREET CT N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551285515",
            "telephone_number": "763-200-6256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6776 Lake Dr",
            "address_2": "220",
            "address_purpose": "LOCATION",
            "city": "Lino Lakes",
            "state": "MN",
            "postal_code": "550141191",
            "country_code": "US",
            "telephone_number": "651-784-7007",
            "fax_number": "651-784-7992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8928 36th St N",
            "address_purpose": "LOCATION",
            "city": "Lake Elmo",
            "state": "MN",
            "postal_code": "550429420",
            "country_code": "US",
            "telephone_number": "763-706-7601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYTHER",
        "first_name": "KATIE",
        "middle_name": "A.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-16",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.