MEDICARE: SENSORY SPEECH & OT THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0400X	Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1295582609
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SENSORY SPEECH & OT THERAPY LLC

Provider Business Mailing Address
First Line	:	7825 WASHINGTON AVE S STE 615
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55439-2440
Country	:	US
Telephone Number	:	651-417-6115
Fax Number	:	952-377-8634

Provider Business Practice Location Address
First Line	:	7825 WASHINGTON AVE S STE 615
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55439-2440
Country	:	US
Telephone Number	:	651-417-6115
Fax Number	:	952-377-8634

Authorized Official
Title or Position	:	DIRECTOR OF SLP SERVICES
Name	:	AMBER BARTLETT
Credential	:	CCC-SLP
Telephone Number	:	651-417-6115

Provider Enumeration Date	:	05/02/2024
Last Update Date	:	09/25/2025

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