Active NPI
Sota Speech Therapy LLC
- Hearing and Speech Clinic/Center
- Oak Park Heights, MN
National Provider Identifier
1629802475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing and Speech Clinic/Center
- Legal business name
- SOTA SPEECH THERAPY LLC
- Practice address
- 5620 Memorial Ave N Ste H
Oak Park Heights, MN 55082-1052 - Phone
- (651) 243-0043
- Fax
- (651) 342-8442
- NPI assigned
- Aug 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anna Quast, M.A. CCC-SLP
- Title
- Speech-Language Pathologist/Owner
- Phone
- (651) 808-8847
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing and Speech Clinic/Center | 261QH0700X | Primary |
Addresses
Primary practice location
5620 Memorial Ave N Ste H
Oak Park Heights, MN 55082-1052
Mailing address
1180 Sycamore St W
Stillwater, MN 55082-4164
National Provider Directory
National Provider DirectoryLocations
5620 Memorial Ave N
Ste H
Oak Park Heights, MN 55082
Phone (651) 243-0043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724630400000",
"number": "1629802475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1180 SYCAMORE ST W",
"city": "STILLWATER",
"state": "MN",
"postal_code": "550824164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5620 MEMORIAL AVE N STE H",
"city": "OAK PARK HEIGHTS",
"state": "MN",
"postal_code": "550821052",
"telephone_number": "651-243-0043",
"fax_number": "651-342-8442"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOTA SPEECH THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-26",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A",
"authorized_official_last_name": "QUAST",
"authorized_official_first_name": "ANNA",
"authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST/OWNER",
"authorized_official_telephone_number": "651-808-8847",
"authorized_official_credential": "M.A. CCC-SLP"
},
"taxonomies": [
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Park Heights, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.