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AMANDA PORTRA M.S., CCC-SLP
NPI 1619326717
Speech-Language Pathologist in Bismarck, ND

Active since June 09, 2016
4530 NORTHERN SKY DR, BISMARCK, ND 58503(701) 751-6336(701) 751-6337 Get Directions Write a Review

NPPES record last updated: October 30, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Amanda Portra M.s., Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA PORTRA M.S., CCC-SLP (NPI 1619326717) is an individual speech-language pathologist provider in Bismarck, North Dakota, licensed in North Dakota (1504) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1619326717
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameAMANDA PORTRACredential: M.S., CCC-SLP
Location Address4530 NORTHERN SKY DRBismarck, ND 58503-8534
Mailing Address1511 Sharloh Loop Apt BBismarck, ND 58501-7822 · (701) 751-6336 · Fax (701) 751-6337
Phone(701) 751-6336
Fax(701) 751-6337
Sole ProprietorNo
Enumeration DateJune 9, 2016
Last NPPES UpdateOctober 30, 2019
✔ NPI 1619326717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in ND · 1504
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
4530 NORTHERN SKY DR, Bismarck, ND 58503
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Other Names 1

Former Name (1)Amanda Swope

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Portra M.s., Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Amanda Portra reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatric Therapy Partners, Inc.
233 mi
Occupational Therapist
419 ATLANTIC AVE
Thief River Falls, MN 56701
  • Reassigned Medicare billing, North Dakota enrollment
  • 79 clinicians in this Medicare group
NPI 1457479958 (701) 232-2340

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA KAISER MS, OTR/L
Occupational Therapist
4530 NORTHERN SKY DR
BISMARCK, ND 58503
Burleigh County (701) 751-6336
MORGAN CLAGETT OTR/L
Occupational Therapist
4530 NORTHERN SKY DR
BISMARCK, ND 58503
Burleigh County (701) 751-6336
SABRINA ALDINGER MS, OTR/L
Occupational Therapist
4530 NORTHERN SKY DR
BISMARCK, ND 58503
Burleigh County (701) 751-6336
LEKSIE BOESE
Speech-Language Pathologist
4530 NORTHERN SKY DR
BISMARCK, ND 58503
Burleigh County (701) 426-8438
ANESSA DEIBERT OTD, OTR/L
Occupational Therapist
4530 NORTHERN SKY DR
BISMARCK, ND 58503
Burleigh County (701) 751-6336
JESSE A WUTZKE MS, OTR/L
Occupational Therapist
4530 NORTHERN SKY DR
BISMARCK, ND 58503
Burleigh County (701) 751-6336
CAITLIN JOANN MULLER LPCC
Counselor (Professional)
4530 NORTHERN SKY DR
BISMARCK, ND 58503
Burleigh County (701) 751-6336
HAYLEY TROM DPT
Physical Therapist
4530 NORTHERN SKY DR
BISMARCK, ND 58503
Burleigh County (701) 751-6336

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Portra's NPI number?

The NPI number for Amanda Portra is 1619326717. It was assigned to this individual provider in the NPPES registry on June 9, 2016. The provider is also known as Amanda Swope.

Where is Amanda Portra located?

Amanda Portra practices at 4530 Northern Sky Dr, Bismarck, ND 58503. The listed phone number is (701) 751-6336.

What is Amanda Portra's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Amanda Portra enrolled in Medicare?

Yes. Amanda Portra is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amanda Portra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Portra reassigns Medicare benefits to Pediatric Therapy Partners, Inc. (Thief River Falls, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Portra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amanda Portra was last updated on October 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.