Nisanth Panicker, M.S.,CCC-SLP
NPI 1790944684ActiveIndividual· Speech-Language Pathologist· Puyallup, WA
Speech-Language Pathologist (M.S.,CCC-SLP) with Fox Rehab Slp Fl LLC, practicing in Puyallup, Washington. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1790944684 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.S.,CCC-SLP |
| Sole proprietor | No |
| NPI issued | Jun 5, 2008 |
| Last updated in NPPES | Jul 17, 2026 |
| Certified by provider | Jul 17, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | LL00004115 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (FL) |
|---|
Education and affiliations
| Graduation year | 2000 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Medical group
- Fox Rehab Slp Fl LLCSarasota, FL · 22 clinicians
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