Individual provider Active NPI

Suzannah Le, SLP

  • Speech-Language Pathologist
  • Fargo, ND
National Provider Identifier
1184330565
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2150 Issued in ND
Practice address
3523 45TH St S Ste 136
Fargo, ND 58104-8962
Phone
(701) 347-1782
Fax
(701) 404-8274
NPI assigned
Jan 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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 2150 ND Primary

Addresses

Primary practice location

3523 45TH St S Ste 136
Fargo, ND 58104-8962

Mailing address

1876 Charleswood Estates Dr
West Fargo, ND 58078-4203
Phone (701) 347-1782

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250821002614 FL Practitioner - Qualified Speech Language Pathologist 4385144666 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Powerback Rehabilitation LLCGroup PAC ID 2365359932, 600 clinicians

Practice addresses (Care Compare)

10605 S Jog Rd
Boynton Beach, FL 33437-3234
Phone (904) 717-7782

6012 Magnolia Beach Rd
Panama City, FL 32408-7065
Phone (850) 230-1802

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2150NDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Powerback Rehabilitation LLC Speech-Language Pathologist CurrentSince Jan 1, 2026 Accepting new patients
RWW Senior Living Outpatient Rehab Services, LLC CurrentSince Aug 4, 2025 Accepting new patients
Powerback Rehabilitation LLC Speech-Language Pathologist CurrentSince Jan 1, 2026 Accepting new patients
Myna Therapy Services PLLC Speech-Language Pathologist CurrentSince Jan 29, 2023 Accepting new patients
RWW Senior Living Outpatient Rehab Services, LLC CurrentSince Aug 4, 2025 Accepting new patients
Rehab in Motion, LLC Speech-Language Pathologist Past Accepting new patients
Rehabcare Group East, LLC Past Accepting new patients

Locations

10605 S Jog Rd
Boynton Beach, FL 33437
Phone (561) 413-6807

3450 Wimbledon Dr
Pensacola, FL 32504
Phone (850) 434-3232

910 Regency Sq
Vero Beach, FL 32967
Phone (772) 213-0423

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

3523 45th St S
Fargo, ND 58104
Phone (701) 747-9701

101 E State St
Kennett Square, PA 19348
Phone (610) 925-4436

Organizations & group practices 7

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": "1674777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1184330565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1876 CHARLESWOOD ESTATES DR",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580784203",
            "telephone_number": "701-347-1782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3523 45TH ST S STE 136",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048962",
            "telephone_number": "701-347-1782",
            "fax_number": "701-404-8274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "SUZANNAH",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "2150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.