Brittney Jill Peterson, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

154-3939 Issued in WI

Practice address

845 S Main St Ste 120
Fond Du Lac, WI 54935-6116

Phone

(920) 322-0447

NPI assigned

Nov 13, 2010

Last updated

Mar 23, 2015By the provider in NPPES

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

Other names 1

• Ms. Brittney Jill Kopecky Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Rehab Arisces Home Health Services

  • Home Health Agency
  • Fond Du Lac, WI
  • NPI 1740626332
  NPD (past)
• Taylored Rehab, LLC

  • Physical Therapy Clinic/Center
  • Fond Du Lac, WI
  • NPI 1356485791

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1289606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427068800000",
    "number": "1184925729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 S MAIN ST STE 120",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549356116",
            "telephone_number": "920-322-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 S MAIN ST STE 120",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549356116",
            "telephone_number": "920-322-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "BRITTNEY",
        "middle_name": "JILL",
        "name_prefix": "Mrs.",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-13",
        "last_updated": "2015-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "154-3939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTNEY",
            "last_name": "KOPECKY",
            "middle_name": "JILL",
            "prefix": "MS.",
            "credential": "MS CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lydia Perez Kocis, DPT
• Michelle Perronne, NP
• Barbara A Peschong, MD
• Michelle C Pesek-McCoy, M.D.
• Jennifer Lynn Peters, PTA
• Johannah A Peterson, APSW
• Kathleen M Peterson
• Stacie Peterson
• Stefanie Mae Petrie, APNP
• Galina S Petrinska, M.D.

• Speech-Language Pathologist in Fond Du Lac, WI
• Providers in Fond Du Lac, 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 Mar 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.