Unknown Individual – Speech-Language Pathologist, NPI 1275734949

Unknown Individual is a healthcare provider. based in Portage, Indiana. specializing in Speech-Language Pathologist. They hold a License No. 22000118A (IN). The NPI Number for Unknown Individual is 1275734949

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1275734949
Phone
(219) 688-7723
Address
6453 PORTAGE AVE
Deactivation Date
25 January 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 6453, Portage Avenue, Crisman Cove, Crisman, Portage, Porter County, Indiana, 46368, United States

    PORTAGE, IN 46368

    Phone: (219) 688-7723

    Fax: (219) 764-3447

    Type: Mailing

  • 2350, Taft Street, Gary, Lake County, Indiana, 46404, United States

    TIMBERVIEW HEALTH CARE CENTER

    GARY, IN 46407

    Phone: (219) 977-2600

    Fax: (219) 764-3447

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 46368)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1275734949 in the public NPI dataset.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Portage, Indiana in our summary view.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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