Okwukwe Ibiam
Speech-Language Pathologist • Park City, UT
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Okwukwe Ibiam has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Okwukwe Ibiam was a registered Speech-Language Pathologist practicing in Park City, UT. Throughout an active medical career spanning 10 years, Okwukwe Ibiam provided care at the practice location at 1640 REDSTONE CENTER DR STE 200 until profile deactivation on 2026-01-01.
Practice Location & Contact Primary Location
1640 Redstone Center Dr Ste 200
Park City, UT 840987607
Specialty Benchmarks & Practice Insights
Comparative analytics for Speech-Language Pathologist in Park City, UT
Practicing in Park City, UT (1352 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 235Z00000X
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
Physical Therapist
Physical Therapist
Physical Therapist - Geriatrics
Physical Therapist
Occupational Therapy Assistant
Occupational Therapist
Occupational Therapist
Speech-Language Pathologist
Speech-Language Pathologist
Occupational Therapy Assistant
Certified Occupational Therapy Assistant
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on January 01, 2026
NPI status registered as active in NPPES database
Registered at 1640 REDSTONE CENTER DR STE 200, PARK CITY, UT 840987607 (Tel: 7819379777)
Registered at 11 OAKWOOD AVE, RANDOLPH, MA 023685528 (Tel: 7819619481)
Recorded as OKWUKWE IBIAM
Speech-Language Pathologist (License #5292 in MA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
11 Oakwood Ave
Randolph, MA 023685528
Phone: 7819619481
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