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Active NPI 1306983481 Individual Practitioner Female Practitioner

Iris Leyretana Sumatra , MA

Speech-Language Pathologist • Westerville, OH

Professional Overview & Biography Verified Profile Summary

Iris Sumatra, MA is a registered healthcare professional specializing in Speech-Language Pathologist in Westerville, OH. Practice services are available at 900 CLUB DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

900 Club Dr

Westerville, OH 430814909

Telephone 6148992838
Fax 6148992876
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Westerville, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.5 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
54 Specialists

Practicing in Westerville, OH (7718 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 OH SP-8112

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0094740 (OH)

Practice Associates & Co-Workers

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

17 Associated Practitioners
Rachel Rupp , OTR, L

Occupational Therapist

NPI 1023405040

Occupational Therapist Registered, L

NPI 1063904480

Master of Occupational Therapy, Occupational Therapist Registered, L

Kelly Stasiulewicz

Occupational Therapist

NPI 1083221626
Alexandra Skinner , OTR

Occupational Therapist

NPI 1114407475

Occupational Therapist Registered

Kaitlin Cline , MA CCC-SLP

Speech-Language Pathologist

NPI 1265839880

MACCCSLP

Sean Pruitt

Marriage & Family Therapist

NPI 1346787827

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 15, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location November 15, 2014

Registered at 900 CLUB DR, WESTERVILLE, OH 430814909 (Tel: 6148992838)

📍
Updated Business Mailing Address November 15, 2014

Registered at 900 CLUB DR, WESTERVILLE, OH 430814909 (Tel: 6148992838)

👤
Provider Name / Credentials Updated November 15, 2014

Recorded as IRIS SUMATRA, MA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2014

Speech-Language Pathologist (License #SP-8112 in OH)

🟢
Initial NPI Registration & Enumeration January 30, 2007

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: 1306983481
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 30, 2007
Last Update: November 15, 2014
Sole Proprietor: No

Mailing Address

900 Club Dr

Westerville, OH 430814909

Phone: 6148992838

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.