Individual provider Active NPI

Sara Marie Kull, MA CCC-SLP

  • Speech-Language Pathologist
  • Parma, OH
National Provider Identifier
1992240469
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.8620 Issued in OH
Practice address
1440 Rockside Rd Ste 201
Parma, OH 44134-2749
Phone
(440) 427-4433
NPI assigned
Dec 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP.08620 OH
Speech-Language Pathologist 235Z00000X SP.8620 OH Primary

Addresses

Primary practice location

1440 Rockside Rd Ste 201
Parma, OH 44134-2749

Mailing address

1440 Rockside Rd Ste 201
Parma, OH 44134-2749
Phone (440) 427-4433

Other practice location 1

260 Niles Cortland Rd NE
Warren, OH 44484-1938
Phone (330) 609-5791

Other practice location 2

3505 E Royalton Rd
Broadview Hts, OH 44147-2994
Phone (440) 241-8366

Other practice location 3

798 E Liberty St
Girard, OH 44420-2316
Phone (330) 545-6550

Other names 1

  • Sara Marie Joo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240311000836 DC Practitioner - Qualified Speech Language Pathologist 9032493911 Reassigns benefits to 1 organization
I20240320003163 VA Practitioner - Qualified Speech Language Pathologist 9032493911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empowerme Rehabilitation LLCGroup PAC ID 2769723162, 423 clinicians

Practice addresses (Care Compare)

2222 Colts Neck Rd
Reston, VA 20191-2843
Phone (314) 673-6747

5501 Discovery Park Blvd
Williamsburg, VA 23188-2952
Phone (757) 505-8750

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SP.08620OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
SMK Therapy, LLC Speech-Language Pathologist Current Accepting new patients
Empowerme Rehabilitation, LLC Speech-Language Pathologist CurrentSince Mar 6, 2024 Accepting new patients
Talk Play Grow Speech-Language Pathologist CurrentSince May 14, 2023 Accepting new patients

Locations

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

1440 Rockside Rd
Ste 201
Parma, OH 44134
Phone (440) 427-4433

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1992240469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 ROCKSIDE RD STE 201",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441342749",
            "telephone_number": "440-427-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 ROCKSIDE RD STE 201",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441342749",
            "telephone_number": "440-427-4433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 Niles Cortland Rd NE",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "OH",
            "postal_code": "444841938",
            "country_code": "US",
            "telephone_number": "330-609-5791",
            "fax_number": "330-451-5711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3505 E Royalton Rd",
            "address_purpose": "LOCATION",
            "city": "Broadview Hts",
            "state": "OH",
            "postal_code": "441472994",
            "country_code": "US",
            "telephone_number": "440-241-8366",
            "fax_number": "440-736-7600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "798 E Liberty St",
            "address_purpose": "LOCATION",
            "city": "Girard",
            "state": "OH",
            "postal_code": "444202316",
            "country_code": "US",
            "telephone_number": "330-545-6550",
            "fax_number": "330-545-6877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KULL",
        "first_name": "SARA",
        "middle_name": "MARIE",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-20",
        "last_updated": "2022-07-21",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.08620",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.8620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "JOO",
            "middle_name": "MARIE",
            "credential": "MA CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Parma, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.