Active NPI
Ruth Katula
- Speech-Language Pathologist
- Pewaukee, WI
National Provider Identifier
1346458122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1059-154
- Practice address
- 321 Riverside Dr
Pewaukee, WI 53072-4612 - Phone
- (262) 691-2300
- Fax
- (262) 691-2184
- NPI assigned
- May 18, 2007
- Sex
- Female
- 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 | 1059-154 | WI | Primary |
Addresses
Primary practice location
321 Riverside Dr
Pewaukee, WI 53072-4612
Mailing address
N607 North Ave
Oconomowoc, WI 53066-9315
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42704000 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2130 Continental Dr
West Bend, WI 53095-7904
Phone (262) 338-0092
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services Wi LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Oasis Therapy Services LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Paxxon Healthcare Services LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Paxxon Healthcare Services LLC | Current | Accepting new patients |
Locations
8170 McCormick Blvd
Ste 112
Skokie, IL 60076
Phone (920) 252-4442
1111 E Capitol Dr
Shorewood, WI 53211
Phone (262) 293-3207
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Milwaukee, WI
- NPI 1518483973
Speech-Language Pathologist
-
- Multi-Specialty Clinic/Center
- Oshkosh, WI
- NPI 1386381598
Speech-Language Pathologist
-
- Physical Therapist
- Menomonee Falls, WI
- NPI 1003174087
Speech-Language Pathologist
-
- Physical Therapist
- Colorado Springs, CO
- NPI 1336808146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346458122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N607 NORTH AVE",
"city": "OCONOMOWOC",
"state": "WI",
"postal_code": "530669315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 RIVERSIDE DR",
"city": "PEWAUKEE",
"state": "WI",
"postal_code": "530724612",
"telephone_number": "262-691-2300",
"fax_number": "262-691-2184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATULA",
"first_name": "RUTH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "1059-154",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42704000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pewaukee, WI
Sources for this page
- 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.