Ag Therapy LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

AG THERAPY LLC

Practice address

405 E Forest St
Oconomowoc, WI 53066-3707

Phone

(219) 798-6189

NPI assigned

Sep 7, 2023

Last updated

Sep 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angela GiangiulioNPI 1386212447

Title

Owner

Phone

(219) 798-6189

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angela Rose Giangiulio

  • Speech-Language Pathologist
  • Juneau, WI
  • NPI 1386212447
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1417733007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 E FOREST ST",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530663707",
            "telephone_number": "219-798-6189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 E FOREST ST",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530663707",
            "telephone_number": "219-798-6189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AG THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "GIANGIULIO",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-798-6189"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarada Abraham, M.D.
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• Debra A Adamus, CLINICAL SUBSTANCE A
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• Gerard G Adler, MD
• Sara Lynn Agamaite, RN
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• Carey Lynn Alber, MOTR
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• Abby Jean Allen

• Speech-Language Pathologist in Oconomowoc, WI
• Providers in Oconomowoc, 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 Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.