OrganizationActive
Pennsylvania State University
NPI 1184992554 · Point of Service · University Park, PA
Provider details
- NPI number
- 1184992554
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Nimisha Muttiah, Speech Language Pathologist(419) 575-8034
- License
- SL010567 (PA)
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
110 Ford Bldg
The Pennsylvania State University
University Park, PA 16802-3000
Phone: (814) 865-5414
Approximate (ZIP-level) locationGet directions
Mailing address
1051 Teaberry Ln
State College, PA 16803-2986
Registry dates
- Enumerated
- 2011-12-13
- Last updated
- 2011-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.