Active NPI
Michael J Retzinger, M.S., CCC-SLP
- Speech-Language Pathologist
- Manitowoc, WI
National Provider Identifier
1295097285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1327 - 154
- Practice address
- 802 Sarah Miles CT
Manitowoc, WI 54220-8614 - Phone
- (920) 683-2266
- NPI assigned
- Jun 14, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1327 - 154 | WI | Primary |
Addresses
Primary practice location
802 Sarah Miles CT
Manitowoc, WI 54220-8614
Mailing address
802 Sarah Miles CT
Manitowoc, WI 54220-8614
Phone (920) 683-2266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1327 - 154 | WI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339632000000",
"number": "1295097285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "802 SARAH MILES CT",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542208614",
"telephone_number": "920-683-2266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 SARAH MILES CT",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542208614",
"telephone_number": "920-683-2266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RETZINGER",
"first_name": "MICHAEL",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-14",
"last_updated": "2012-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "1327 - 154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manitowoc, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.