Individual provider Active NPI

Samantha Ratchford

  • Speech-Language Pathologist
  • Storrs, CT
National Provider Identifier
1669097648
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6207 Issued in CT
Practice address
2 Alethia Dr # U-1085
Storrs, CT 06269-2985
Phone
(860) 486-2629
NPI assigned
Jun 15, 2020
Last updated
Feb 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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 6207 CT Primary

Addresses

Primary practice location

2 Alethia Dr # U-1085
Storrs, CT 06269-2985

Mailing address

767 Arbutus St
Middletown, CT 06457-5120
Phone (860) 878-5905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230922002151 CT Practitioner - Qualified Speech Language Pathologist 8224482310 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6207CTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Connecticut Multi-Specialty CurrentSince Sep 1, 2023 Accepting new patients
Somewhere Over the Spectrum Multi-Specialty PastSince Mar 1, 2021 Accepting new patients
University of Connecticut Student Health and Wellness Past Accepting new patients
The Talcott Center for Child Development LLC Multi-Specialty PastSince Aug 11, 2024 Accepting new patients

Locations

2 Alethia Dr
#U1085
Storrs Mansfield, CT 06269
Phone (860) 486-2629

Organizations & group practices 4

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": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1669097648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 ARBUTUS ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064575120",
            "telephone_number": "860-878-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ALETHIA DR # U-1085",
            "city": "STORRS",
            "state": "CT",
            "postal_code": "062692985",
            "telephone_number": "860-486-2629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATCHFORD",
        "first_name": "SAMANTHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-15",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "6207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Storrs, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.