Active NPI
Ryan Knoblauch, MA, CCC-SLP
- Speech-Language Pathologist
- Perrysburg, OH
National Provider Identifier
1407926595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP-8278
- Practice address
- 27511 Holiday LN
Ste 202C
Perrysburg, OH 43551-5397 - Phone
- (419) 740-1181
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | SP-8278 | OH | Primary |
Addresses
Primary practice location
27511 Holiday LN
Ste 202C
Perrysburg, OH 43551-5397
Mailing address
1296 Running Brook Dr
Perrysburg, OH 43551-1889
Phone (419) 740-1181
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP-8278 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461024000000",
"number": "1407926595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1296 RUNNING BROOK DR",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435511889",
"telephone_number": "419-740-1181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27511 HOLIDAY LN",
"address_2": "STE 202C",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435515397",
"telephone_number": "419-740-1181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOBLAUCH",
"first_name": "RYAN",
"name_prefix": "Mr.",
"credential": "MA, CCC-SLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2016-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP-8278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Perrysburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.