Yvonne Elizabeth Petersen-Zich, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

701-154 Issued in WI

Practice address

3939 S 92ND St
Greenfield, WI 53228-2140

Phone

(414) 546-7345

NPI assigned

Feb 6, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neuro Advantage Rehabilitation, LLCGroup PAC ID 9234524547, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Neuro Advantage Rehabilitation, LLC

  • Physical Therapist
  • Mount Pleasant, WI
  • NPI 1477205227
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144369216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 MARY DREW DR",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534029514",
            "telephone_number": "262-721-0269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 S 92ND ST",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532282140",
            "telephone_number": "414-546-7345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN-ZICH",
        "first_name": "YVONNE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "701-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esmeralda M Perez, LPC
• Kristi Peroceschi
• Deirdre Danielle Peters, OTR
• James R Peters, DPT
• Anne L Petersen-Fisher, MD
• Melissa Peterson, PTA
• Viranda M Pfannenstiel, PTA
• Melissa Pfeifer, OTR
• Zachary E. Pflum, M.D.
• Steven Phaklides, PTA

• Speech-Language Pathologist in Greenfield, WI
• Providers in Greenfield, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.