Individual provider Active NPI

Jennifer Sabally, MS, CCC-SLP

  • Speech-Language Pathologist
  • Tomah, WI
National Provider Identifier
1053228775
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
612 Hollister Ave
Tomah Middle School
Tomah, WI 54660-1960
Phone
(608) 374-9876
NPI assigned
Aug 26, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

612 Hollister Ave
Tomah Middle School
Tomah, WI 54660-1960

Mailing address

1016 Jodi Cir
Tomah, WI 54660-1728
Phone (608) 374-7896

Other practice location 1

901 Lincoln Ave
Tomah High School
Tomah, WI 54660-1857
Phone (608) 374-7896

Other practice location 2

600 Straw St
LaGrange Elementary
Tomah, WI 54660-1172
Phone (608) 374-7896

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1787702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1053228775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 JODI CIR",
            "city": "TOMAH",
            "state": "WI",
            "postal_code": "546601728",
            "telephone_number": "608-374-7896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 HOLLISTER AVE",
            "address_2": "TOMAH MIDDLE SCHOOL",
            "city": "TOMAH",
            "state": "WI",
            "postal_code": "546601960",
            "telephone_number": "608-374-9876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Lincoln Ave",
            "address_2": "Tomah High School",
            "address_purpose": "LOCATION",
            "city": "Tomah",
            "state": "WI",
            "postal_code": "546601857",
            "country_code": "US",
            "telephone_number": "608-374-7896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Straw St",
            "address_2": "LaGrange Elementary",
            "address_purpose": "LOCATION",
            "city": "Tomah",
            "state": "WI",
            "postal_code": "546601172",
            "country_code": "US",
            "telephone_number": "608-374-7896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SABALLY",
        "first_name": "JENNIFER",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-26",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomah, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.