Angela Rose Giangiulio
Individual provider Active NPI Speech-Language Pathologist · Juneau, WI
NPI 1386212447 · NPPES record last updated Jun 15, 2021
Key facts
- NPI
- 1386212447
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 5250154 (WI)
- Practice address
- 198 County DF
Juneau, WI 53039-9515 - Phone
- (877) 386-3400
- NPI assigned
- Jun 15, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1773 Starbatt Dr
Rochester Hills, MI 48309
212 S Barclay St
Apt 302
Milwaukee, WI 53204-1433
212 S Barclay St Apt
Suite 302
Milwaukee, WI 53204-1433
405 E Forest St
Suite 111
Oconomowoc, WI 53066-3707
Phone (219) 798-6189
N50W16002 Maple Crest LN
Menomonee Falls, WI 53051
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230821004043 | WI | Practitioner - Qualified Speech Language Pathologist | 5799147823 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5250154 | WI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kujawa LLC | Speech-Language Pathologist | Current |
Accepting new patients |
| Ag Therapy LLC | Speech-Language Pathologist | Current |
Accepting new patients |
| Fastback Physical Therapy LLC | Current |
Accepting new patients |
Locations
1773 Star Batt Dr
Rochester Hills, MI 48309
Phone (248) 650-4720
3333 S Sunny Slope Rd
Ste 103B
New Berlin, WI 53151
Phone (262) 682-1842
405 E Forest St
Ste 111
Oconomowoc, WI 53066
Phone (219) 798-6189
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 5250154 | WI | Yes |
Addresses
Primary practice location
198 County DF
Juneau, WI 53039-9515
Mailing address
1521 N Franklin PL Apt 203
Milwaukee, WI 53202-2248
Phone (219) 798-6189
Other practice location 1
430 E Division St
Fond Du Lac, WI 54935-4597
Phone (920) 926-5370
Other providers in Juneau, WI
- Aubrey Fleischer
- Maisie Mae Floyd
- Alicia Frank
- Sara Gaska
- Kristine Marie Gay
- Kayla Gibbons
- Rachel Leigh Goss
- Robert Wayne Griesel
- Greg L Hanson
- Healing Relationships LLC
All providers in Juneau, 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 Jun 15, 2021. 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.