Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sydney Smith

Individual provider Speech-Language Pathologist · NPI 1891461430

Sydney Smith is a Qualified Speech Language Pathologist in Minnetonka, Minnesota. Qualified in 2015, 11 years ago. Practices with Odom Sports Medicine PA, a 69-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
11
Licensed in
MN
In the registry since
2021
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Practice location Address checks out

10653 Wayzata Blvd Ste 200
Minnetonka, MN 55305-1543
Phone: (952) 224-1919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 9627 (MN)

Record details

NPI number1891461430
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 23, 2021
Last updated in NPPESSeptember 13, 2021
Certification dateSeptember 13, 2021
Mailing address10653 Wayzata Blvd Ste 200, Minnetonka, MN 55305-1543

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Odom Sports Medicine Pa — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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