Tina Faye Juarez, SLP
Individual provider Active NPI Speech-Language Pathologist · Tiffin, OH
NPI 1962503565 · NPPES record last updated Oct 16, 2013
Key facts
- NPI
- 1962503565
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 6276 (OH)
- Practice address
- 676 Miami St Ste a
Tiffin, OH 44883-1934 - Phone
- (419) 448-5533
- Fax
- (419) 448-5559
- NPI assigned
- Sep 26, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- PT Services Rehabilitation Inc
Practice addresses (Care Compare)
805 Patriot Dr
Suite H
Wellington, OH 44090-8951
Phone (440) 647-0107
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250804003958 | OH | Practitioner - Qualified Speech Language Pathologist | 7618216409 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| P.T. Services Rehabilitation, Inc. | Current |
Accepting new patients | |
| Fabrehab Services, LLC | Past |
Accepting new patients |
Locations
1800 W State St
Fremont, OH 43420
Phone (419) 332-6709
805 Patriot Dr
Ste H
Wellington, OH 44090
Phone (440) 647-0107
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 6276 | OH | Yes |
Addresses
Primary practice location
676 Miami St Ste a
Tiffin, OH 44883-1934
Mailing address
676 Miami St Ste a
Tiffin, OH 44883-1934
Phone (419) 448-5533
Other providers in Tiffin, OH
- John W Bremyer Podiatry Inc
- Rachael L Johnson
- Rachel Jones
- Alyssa Nicole Jordan
- Benito Alberto Juarez
- Ashton Kaffenbarger
- Prasad C Kakarala
- Lindsey Elizabeth Kantor
- Ella Mae Kaple
- Karin Mobley LLC
All providers in Tiffin, OH · Speech-Language Pathologist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.