Jodi Detoffol, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

0176 Issued in MN

Practice address

9633 Yukon Ave S
Bloomington, MN 55438-1650

Phone

(612) 424-9890

NPI assigned

Oct 27, 2021

Last updated

Oct 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jodi Stegmeir Detoffol Professional name

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optage IncGroup PAC ID 2264619345, 61 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Optage Inc

  dba Eaglecrest

  • Rehabilitation Clinic/Center
  • Roseville, MN
  • NPI 1801517230
  Medicare reassignment Care Compare group
• Optage Inc

  dba Beacon Hill

  • Rehabilitation Clinic/Center
  • Minnetonka, MN
  • NPI 1467141929

  Speech-Language Pathologist

  NPD
• Optage Inc

  dba Presbyterian Homes and Services Rehabilitation

  • Rehabilitation Clinic/Center
  • Mahtomedi, MN
  • NPI 1699464149

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1841954716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9633 YUKON AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554381650",
            "telephone_number": "612-424-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9633 YUKON AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554381650",
            "telephone_number": "612-424-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETOFFOL",
        "first_name": "JODI",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "0176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODI",
            "last_name": "DETOFFOL",
            "middle_name": "STEGMEIR",
            "credential": "SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lara Derksen, MA
• Avani S Desai, MD MBBS
• Kristine Deschepper, OTR/L
• Destiny Home Care
• Dane Detert
• Amrit Devgun, N.D.
• Renee Marie Devries, D.C.
• Kelly Erin Deweese, MOT, ORT/L
• Adam James Dewenter, MOT, OTR/L
• Samira Dhere

• Speech-Language Pathologist in Bloomington, MN
• Providers in Bloomington, 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 Oct 27, 2021; 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.