Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376141473 Individual Practitioner Female Practitioner

Sidrah Amhed Khan

Speech-Language Pathologist • Port Edwards, WI

Professional Overview & Biography Verified Profile Summary

Sidrah Khan is a registered healthcare professional specializing in Speech-Language Pathologist in Port Edwards, WI. Practice services are available at 1351 WISCONSIN RIVER DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1351 Wisconsin River Dr

Port Edwards, WI 544691099

Telephone 7158858333
Associated Practice Facility / Clinic
🏢 County Of Wood Facility NPI 1013915339

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Port Edwards, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Port Edwards, WI (3821 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

CMS Verified: 2020-10-12
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License WI 5104-154

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

6 Associated Practitioners
Charlene Marshall

Physical Therapy Assistant

NPI 1174734743
Dianna Witt , COTA

Occupational Therapy Assistant

NPI 1548440142

Certified Occupational Therapy Assistant

Lisa O'shasky , COTA

Occupational Therapy Assistant

NPI 1609033372

Certified Occupational Therapy Assistant

Sharon Holy , PT

Physical Therapist - Geriatrics

NPI 1649450222

Physical Therapist

Michael Bernarde , PTA

Physical Therapy Assistant

NPI 1699955286

Physical Therapist Assistant

Amanda Veriha , LPTA

Physical Therapy Assistant

NPI 1790103554

Licensed Physical Therapist Assistant

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 12, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location October 12, 2020

Registered at 1351 WISCONSIN RIVER DR, PORT EDWARDS, WI 544691099 (Tel: 7158858333)

📍
Updated Business Mailing Address October 12, 2020

Registered at 1425 N 12TH AVE APT 310, WAUSAU, WI 544012457 (Tel: 2012819672)

👤
Provider Name / Credentials Updated October 12, 2020

Recorded as SIDRAH KHAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2020

Speech-Language Pathologist (License #5104-154 in WI)

🟢
Initial NPI Registration & Enumeration October 12, 2020

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: 1376141473
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2020
Last Update: October 12, 2020
Sole Proprietor: Yes

Mailing Address

1425 N 12th Ave Apt 310

Wausau, WI 544012457

Phone: 2012819672

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.