Gineen Magiera Speech Pathology and Wellness LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

GINEEN MAGIERA SPEECH PATHOLOGY AND WELLNESS LLC

Doing business as

Phoenix Swallowing Diagnostics

Practice address

2611 College St
Manitowoc, WI 54220-6621

Phone

(920) 374-3946

Fax

(888) 920-1975

NPI assigned

Jun 23, 2021

Organization subpart

No

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

Authorized official

Name

Gineen Magiera, M.S., CCC-SLP

Title

Owner

Phone

(920) 374-3946

Specialties & licenses 1

Addresses

Other names 1

• Phoenix Swallowing Diagnostics Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1326617333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 COLLEGE ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542206621",
            "telephone_number": "920-374-3946",
            "fax_number": "888-920-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 COLLEGE ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542206621",
            "telephone_number": "920-374-3946",
            "fax_number": "888-920-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINEEN MAGIERA SPEECH PATHOLOGY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "MAGIERA",
        "authorized_official_first_name": "GINEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-374-3946",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "phoenixswallowing@outlook.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2611 College St",
            "city": "Manitowoc",
            "state": "WI",
            "country_code": "US",
            "postal_code": "542206621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Phoenix Swallowing Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Phoenix Swallowing Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Geiger, RDH
• Nicholas Michael Geiger, APSW
• Matthew Gentile, M.D.
• Alexandria L Gezella, FNP-C
• Emily Gibbs, FNP-C
• Pradeep Giriyappa, M.D.
• Sharon A Glandt, NP
• Cameron A Goetz, PHD
• Dayna Marie Goetz, RN
• Shana Goodman, RN

• Speech-Language Pathologist in Manitowoc, WI
• Providers in Manitowoc, 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 Dec 29, 2021; 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.