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Active NPI 1790944684 Individual Practitioner Male Practitioner

Nisanth Panicker , MS, CCC-SLP

Speech-Language Pathologist • Puyallup, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Nisanth Panicker, MS, CCC-SLP is a certified Speech-Language Pathologist practicing in Puyallup, WA. With approximately 26 years of clinical experience since completing medical education in 2000, Nisanth Panicker delivers high-quality medical care to the local community at 920 12TH AVE SE.

Nisanth Panicker is affiliated with Fox Rehab Slp Fl Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

920 12th Ave Se

Puyallup, WA 983724920

Telephone 2538413422
Fax 2064454043
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Puyallup, WA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
26 Yrs +16.2 yrs vs City Avg
City Avg: 9.8 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
93 Specialists

Practicing in Puyallup, WA (4167 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

Clinical Seniority & Experience Comparison

Dr. Panicker (26 Years) 26 Yrs
Puyallup Specialty Average (9.8 Years) 9.8 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-07-17
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License WA LL00004115

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.

Hospital & Practice Group Affiliations

Fox Rehab Slp Fl Llc

8450 Lockwood Ridge Rd, Sarasota, FL 342432920

Phone: 8774073422

Practice Associates & Co-Workers

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

9 Associated Practitioners
NPI 1033786728
Amrita Nambiar , MS, CCC-SLP

Speech-Language Pathologist

NPI 1053570259

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Dawn Levine , COTA, L

Occupational Therapy Assistant

NPI 1306005517

Certified Occupational Therapy Assistant, L

William Pyle , PTA

Physical Therapy Assistant

NPI 1366609026

Physical Therapist Assistant

Breena Hirsch , PTA

Physical Therapy Assistant

NPI 1407014566

Physical Therapist Assistant

Francesca Orvis

Speech-Language Pathologist

NPI 1508458258

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 05, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location June 05, 2008

Registered at 920 12TH AVE SE, PUYALLUP, WA 983724920 (Tel: 2538413422)

📍
Updated Business Mailing Address June 05, 2008

Registered at 920 12TH AVE SE, PUYALLUP, WA 983724920 (Tel: 2538413422)

👤
Provider Name / Credentials Updated June 05, 2008

Recorded as NISANTH PANICKER, M.S.,CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2008

Speech-Language Pathologist (License #LL00004115 in WA)

🟢
Initial NPI Registration & Enumeration June 05, 2008

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: 1790944684
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2008
Last Update: July 17, 2026
Sole Proprietor: No

Mailing Address

920 12th Ave Se

Puyallup, WA 983724920

Phone: 2538413422

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.