Individual provider Active NPI

Sarah Mikusa, MA, CCC-SLP

  • Speech-Language Pathologist
  • Warrensville Heights, OH
National Provider Identifier
1770897423
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP - 9786 Issued in OH
Practice address
25221 Miles Road
Suite F
Warrensville Heights, OH 44128
Phone
(216) 514-1600
NPI assigned
Aug 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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 SP - 9786 OH Primary

Addresses

Primary practice location

25221 Miles Road
Suite F
Warrensville Heights, OH 44128

Mailing address

1111 Alvey Rd
Lyndhurst, OH 44124-1234

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 Arts

State licenses

LicenseStateTypeSpecialty
SP - 9786OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Barrie G. Galvin, Otr L & Associates, LTD Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1770897423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 ALVEY RD",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441241234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25221 MILES ROAD",
            "address_2": "SUITE F",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "44128",
            "telephone_number": "216-514-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKUSA",
        "first_name": "SARAH",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-04",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP - 9786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrensville Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.