Nirmal K Samanta, PHD, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2004016682 Issued in MO

Practice address

500 Carlson Pkwy
Minnetonka, MN 55305-5304

Phone

(877) 407-3422

NPI assigned

Nov 28, 2012

Last updated

Dec 30, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fox Rehabilitation Services MN LLCGroup PAC ID 0941542591, 64 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Fox Rehabilitation Services MN LLC

  • Physical Therapist
  • Minnetonka, MN
  • NPI 1356802862

  Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD
• Cape Speech and Swallowing Therapy,LLC.

  • Speech-Language Pathologist
  • Cape Girardeau, MO
  • NPI 1598181182
  Authorized official Same address or phone
• Nirmal K Samanta

  • Alzheimer Center (Dementia Center)
  • Cape Girardeau, MO
  • NPI 1205168523
  Authorized official Same address or phone
• Nirmal Samanta SLP

  • Speech-Language Pathologist
  • Cape Girardeau, MO
  • NPI 1699191064
  Authorized official Same address or phone

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1730424029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 BRANDY LN",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637018443",
            "telephone_number": "573-450-3393",
            "fax_number": "573-339-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CARLSON PKWY",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553055304",
            "telephone_number": "877-407-3422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Brandy Ln",
            "address_purpose": "LOCATION",
            "city": "Cape Girardeau",
            "state": "MO",
            "postal_code": "637018443",
            "country_code": "US",
            "telephone_number": "573-450-3393",
            "fax_number": "573-339-0911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMANTA",
        "first_name": "NIRMAL",
        "middle_name": "K",
        "credential": "PHD, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-28",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "3531",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2004016682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Salmela
• Janet Lynn Salmon, DNP FNP-BC ARNP RN
• Jill Salo, MS, LADC, LPCC
• Ashaunte Marie Salone, RBT
• Renee Saltness
• Ali Riza Samikoglu, M.D.
• Thomas W Samuelson, M.D.
• Berenice Abigail Sanchez-Ortiz, CF-SLP
• Gabriel M Sanchez, RN, NP-C
• Teresa Sanchez, NP

• Speech-Language Pathologist in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Speech-Language Pathologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.