Sally Weller, MS SLP-CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3144-154 Issued in WI

Practice address

333 Pine Ridge Blvd
Wausau, WI 54401-4102

Phone

(715) 847-2826

NPI assigned

Dec 13, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Empowerme Rehabilitation, LLC

  • Multi-Specialty Clinic/Center
  • Appleton, WI
  • NPI 1134844848

  Speech-Language Pathologist

  Medicare reassignment NPD
• Grace Lutheran Foundation, Inc

  • Physical Therapist
  • Altoona, WI
  • NPI 1639960347
  Medicare reassignment NPD
• Phyt Rehab of Wisconsin, Inc.

  • Physical Therapist
  • Wausau, WI
  • NPI 1366965931
  Medicare reassignment NPD
• Empowerme Rehabilitation, LLC

  • Multi-Specialty Clinic/Center
  • Williamsburg, VA
  • NPI 1881366730

  Speech-Language Pathologist

  NPD
• Grace Lutheran Foundation, Inc.

  • Adult Day Care Clinic/Center
  • Altoona, WI
  • NPI 1912156530
  NPD (past)

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

{
    "created_epoch": "1229126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554422400000",
    "number": "1487899878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 PINE RIDGE BLVD",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014102",
            "telephone_number": "715-847-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 PINE RIDGE BLVD",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014102",
            "telephone_number": "715-847-2826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLER",
        "first_name": "SALLY",
        "credential": "MS SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-13",
        "last_updated": "2019-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "3144-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Elisabeth Weir
• April Weis, LPN
• Gerald Glenn Weiss, MD
• Maggie Patricia Weix, NP
• Cheryl Weller, O.T.R.
• Jason Alan Welles, MD
• Wellness Way Wausau
• Wellness Way Wausau LLC
• Kristin G Weltzin, M.S. CCC-SLP
• Melissa J Wendell, FNPC

• Speech-Language Pathologist in Wausau, WI
• Providers in Wausau, 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 Apr 5, 2019; 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.