Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104126895 Individual Practitioner Female Practitioner

Nancy Sansom Rathburn , MACCC-SLP

Speech-Language Pathologist • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Nancy Rathburn, MACCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Fort Wayne, IN. Practice services are available at 3320 E STATE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3320 E State Blvd

Fort Wayne, IN 468055601

Telephone 2604843120
Fax 2609690104
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.0 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
219 Specialists

Practicing in Fort Wayne, IN (3038 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License IN 22001327A

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Ryan Myers , PTA

Physical Therapy Assistant

NPI 1255641585

Physical Therapist Assistant

Gina Copelenad , PTA

Physical Therapy Assistant

NPI 1366742231

Physical Therapist Assistant

Amber Bell , COTA

Occupational Therapy Assistant

NPI 1518277722

Certified Occupational Therapy Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 27, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location October 27, 2010

Registered at 3320 E STATE BLVD, FORT WAYNE, IN 468055601 (Tel: 2604843120)

📍
Updated Business Mailing Address October 27, 2010

Registered at 3320 E STATE BLVD, FORT WAYNE, IN 468055601 (Tel: 2604843120)

👤
Provider Name / Credentials Updated October 27, 2010

Recorded as NANCY RATHBURN, MACCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2010

Speech-Language Pathologist (License #22001327A in IN)

🟢
Initial NPI Registration & Enumeration October 27, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104126895
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 27, 2010
Last Update: October 27, 2010
Sole Proprietor: No

Mailing Address

3320 E State Blvd

Fort Wayne, IN 468055601

Phone: 2604843120

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.