SANDRA ALLISON LARUE (MA, CCC-SLP) – Speech-Language Pathologist, NPI 1720254683

SANDRA ALLISON LARUE (MA, CCC-SLP) is a healthcare provider. based in Shelton, Connecticut. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials MA, CCC-SLP. They hold a License No. 1960 (CT). The NPI Number for SANDRA ALLISON LARUE (MA, CCC-SLP) is 1720254683

Main info

Female
37 Years Of Experience
Accepts Medicare Assignment
Name
SANDRA ALLISON LARUE (MA, CCC-SLP)
NPI
1720254683
Phone
(203) 926-0008
Address
36 LYNNE TER
Enumeration Date
1 May 2008
Last Update Date
1 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8774073422
Graduation Year
1989 (37 years ago)
PAC ID
5991239360
Group Practice PAC ID
3971639998
Professional Enrollment ID
I20241107000777
Address ID
SC290722903LE800XXDRXX400

Contacts

Main Contact
https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

68 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in CT

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Provider Addresses for SANDRA ALLISON LARUE (MA, CCC-SLP)

  • 36, Lynne Terrace, Shelton, Fairfield County, Connecticut, 06484, United States

    SHELTON, CT 064844816

    Phone: (203) 926-0008

    Type: Mailing

  • 7003, Main Street, Johnsons Corner, Stratford, Fairfield County, Connecticut, 06614, United States

    STRATFORD, CT 066141393

    Phone: (203) 375-5894

    Fax: (203) 386-1144

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-11-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241107000777IQualified Speech Language PathologistSCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06484)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971639998View full group profile
NameSpecialtyState
-NM
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeSC
Physical Therapist In Private PracticeNJ
Occupational Therapist In Private PracticeSC
-SC
Physical Therapist In Private PracticeSC
Occupational Therapist In Private PracticeSC
-NC

Reviews

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Frequently asked questions

Can I use this page to confirm SANDRA ALLISON LARUE (MA, CCC-SLP)'s NPI?
Yes. SANDRA ALLISON LARUE (MA, CCC-SLP) is listed with NPI 1720254683 in the public NPI dataset.
Can I rely on SANDRA ALLISON LARUE (MA, CCC-SLP) being an active provider?
As of the registry snapshot, SANDRA ALLISON LARUE (MA, CCC-SLP) is marked active.
What is SANDRA ALLISON LARUE (MA, CCC-SLP) best known for clinically?
Directory data describes SANDRA ALLISON LARUE (MA, CCC-SLP) with Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
Where should I expect SANDRA ALLISON LARUE (MA, CCC-SLP) on a map?
Expect Shelton, Connecticut as a primary anchor for SANDRA ALLISON LARUE (MA, CCC-SLP) unless the record lists multiple sites.
Is the information about SANDRA ALLISON LARUE (MA, CCC-SLP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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