Active NPI
Dora Kujawa, SLT
- Speech-Language Pathologist
- Holland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP5163
- Practice address
- 1225 Corporate Dr Ste B
Holland, OH 43528-7701 - Phone
- (419) 866-0555
- Fax
- (419) 866-0556
- NPI assigned
- Feb 1, 2017
- Last updated
- Feb 10, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP5163 | OH | Primary |
Addresses
Primary practice location
1225 Corporate Dr Ste B
Holland, OH 43528-7701
Mailing address
1225 Corporate Dr Ste B
Holland, OH 43528-7701
Phone (419) 866-0555
Other practice location 1
3450 W Central Ave Ste 336
Toledo, OH 43606-1418
Phone (419) 536-4247
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- University of Toledo College of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1225 Corporate Dr
Suite B
Holland, OH 43528-7701
Phone (419) 866-0555
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP5163 | OH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Med1Care Therapy Partners LLC | Current | Accepting new patients | |
| Northwest Ohio Speech Language and | Speech-Language Pathologist | Past | Accepting new patients |
| Med1Care, LLC | Past | Accepting new patients |
Locations
1225 Corporate Dr
Ste B
Holland, OH 43528
Phone (419) 866-0555
Organizations & group practices 3
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.
-
- Physical Therapist
- Holland, OH
- NPI 1770169492
-
- Home Health Agency
- Holland, OH
- NPI 1770958829
-
- Speech-Language Pathologist
- Toledo, OH
- NPI 1619012101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739145600000",
"number": "1952849747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 CORPORATE DR STE B",
"city": "HOLLAND",
"state": "OH",
"postal_code": "435287701",
"telephone_number": "419-866-0555",
"fax_number": "419-866-0556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 CORPORATE DR STE B",
"city": "HOLLAND",
"state": "OH",
"postal_code": "435287701",
"telephone_number": "419-866-0555",
"fax_number": "419-866-0556"
}
],
"practiceLocations": [
{
"address_1": "3450 W Central Ave Ste 336",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436061418",
"country_code": "US",
"telephone_number": "419-536-4247",
"fax_number": "419-537-1738",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUJAWA",
"first_name": "DORA",
"credential": "SLT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-01",
"last_updated": "2025-02-10",
"certification_date": "2025-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP5163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.