Alisa Joanne Titze Grothe
NPI 1033004981ActiveIndividual· Speech-Language Pathologist· Prior Lake, MN
Speech-Language Pathologist with Optage Inc, practicing in Prior Lake, Minnesota. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1033004981 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jun 11, 2025 |
| Last updated in NPPES | Jun 11, 2025 |
| Certified by provider | Jun 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 8665 | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (MN) |
|---|
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Medical group
- Optage IncSaint Paul, MN · 59 clinicians
Other Speech-Language Pathologist providers in Prior Lake
- 1144527102