Active NPI
Suzannah Le, SLP
- Speech-Language Pathologist
- Fargo, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2150
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2150 | ND | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Powerback Rehabilitation LLC | Speech-Language Pathologist | Current | Accepting new patients |
| RWW Senior Living Outpatient Rehab Services, LLC | Current | Accepting new patients | |
| Powerback Rehabilitation LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Myna Therapy Services PLLC | Speech-Language Pathologist | Current | Accepting new patients |
| RWW Senior Living Outpatient Rehab Services, LLC | Current | 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.
-
- Physical Therapist
- Vero Beach, FL
- NPI 1710789565
Speech-Language Pathologist
-
- Physical Therapist
- St Johns, FL
- NPI 1811735996
-
- Multi-Specialty Clinic/Center
- Fargo, ND
- NPI 1427788629
Speech-Language Pathologist
-
- Physical Therapist
- Woodbridge, VA
- NPI 1790640761
Speech-Language Pathologist
-
- Physical Therapist
- Sarasota, FL
- NPI 1619833803
-
- Rehabilitation Clinic/Center
- Shalimar, FL
- NPI 1407382278
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.