Individual provider Active NPI

Susan Marie Strock, SLP

  • Speech-Language Pathologist
  • Miami Lakes, FL
National Provider Identifier
1316506520
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA16474 Issued in FL
Practice address
5190 NW 167TH St Ste 117
Miami Lakes, FL 33014-6329
Phone
(305) 517-3047
NPI assigned
Jun 11, 2019
Last updated
Jul 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 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 SA16474 FL Primary

Addresses

Primary practice location

5190 NW 167TH St Ste 117
Miami Lakes, FL 33014-6329

Mailing address

2001 Biscayne Blvd
#3402
Miami, FL 33137-5018
Phone (305) 788-9054

Other identifiers 1

IdentifierTypeStateIssuer
SA16474OtherFLHEALTHCARE LICENSE

Other names 1

  • Susan Marie Ricotti Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SA16474FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Action Speech LLC Speech-Language Pathologist CurrentSince Aug 10, 2025 Accepting new patients
Smartherapy Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

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": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1316506520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BISCAYNE BLVD",
            "address_2": "#3402",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331375018",
            "telephone_number": "305-788-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5190 NW 167TH ST STE 117",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146329",
            "telephone_number": "305-517-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROCK",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA16474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCARE LICENSE",
            "identifier": "SA16474",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "RICOTTI",
            "middle_name": "MARIE",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.