Alyssia Altobelli
Individual provider Active NPI Speech-Language Pathologist · Waukesha, WI
NPI 1265119960 · NPPES record last updated May 10, 2025
Key facts
- NPI
- 1265119960
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 6318-154 (WI)
- Practice address
- 1701 E Broadway
Waukesha, WI 53186-8127 - Phone
- (877) 407-3422
- NPI assigned
- Jul 3, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fox Rehabilitation Services Wi LLC
Practice addresses (Care Compare)
2130 Continental Dr
West Bend, WI 53095-7904
Phone (262) 338-0092
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250403001963 | WI | Practitioner - Qualified Speech Language Pathologist | 4981128600 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6318-154 | WI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services Wi LLC | Speech-Language Pathologist | Current |
Accepting new patients |
| Sundance Rehabilitation LLC | Current |
Accepting new patients |
Locations
101 E State St
Kennett Square, PA 19348
Phone (610) 925-4436
6109 Braun Rd
Mount Pleasant, WI 53403
Phone (262) 484-4724
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 6318-154 | WI | Yes |
Addresses
Primary practice location
1701 E Broadway
Waukesha, WI 53186-8127
Mailing address
5700 Mockingbird LN
Greendale, WI 53129-1442
Phone (815) 276-1148
Other practice location 1
5700 Mockingbird Ln
Greendale, WI 53129-1442
Phone (414) 421-9600
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | Fox Rehabilitation Services WI LLC |
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | Fox Rehabilitation Services WI LLC |
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | Fox Rehabilitation Services WI LLC |
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | Fox Rehabilitation Services WI LLC |
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | Fox Rehabilitation Services WI LLC |
Other providers in Waukesha, WI
- Allure Medical of Wisconsin PLLC
- Robert H. Alm
- April Alsum
- Benjamin Altgilbers
- Eve Altizer
- Lynne Sarah Alva
- Ivette M Alvarado
- Sandra G Amadon
- Amani a Maguid MD SC
- American Current Care P.a.
All providers in Waukesha, WI · Speech-Language Pathologist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.