Individual provider Active NPI

Sara Tillotson, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Cincinnati, OH
National Provider Identifier
1366824021
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
14065880 Issued in OH
Practice address
11784 Hamilton Ave
Cincinnati, OH 45231-1129
Phone
(513) 825-2700
NPI assigned
Jun 18, 2015
Last updated
Oct 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4148-154 WI
Speech-Language Pathologist 235Z00000X 14065880 OH Primary

Addresses

Primary practice location

11784 Hamilton Ave
Cincinnati, OH 45231-1129

Mailing address

1751 Forester Dr
Cincinnati, OH 45240-1033
Phone (513) 675-0775

Other practice location 1

333 W Main St
Madison, WI 53703-2777
Phone (608) 283-2000

Other names 1

  • Ms. Sara Knollman 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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
14065880OHMDSpeech-Language Pathologist
4148-154WIMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1366824021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 FORESTER DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452401033",
            "telephone_number": "513-675-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11784 HAMILTON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452311129",
            "telephone_number": "513-825-2700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 W Main St",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537032777",
            "country_code": "US",
            "telephone_number": "608-283-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TILLOTSON",
        "first_name": "SARA",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-18",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "4148-154",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "14065880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "KNOLLMAN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; 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.