Susan Diane Michler, MS CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1504-154 Issued in WI

Practice address

7269 Highway 60
Cedarburg, WI 53012

Phone

(262) 377-8350

NPI assigned

May 31, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Sport Clinic Physical Therapy Inc

  • Physical Therapist
  • Bayside, WI
  • NPI 1912918475
  NPD (past)

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1497956874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 LAUREL LN",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549355372",
            "telephone_number": "920-922-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7269 HIGHWAY 60",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "53012",
            "telephone_number": "262-377-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHLER",
        "first_name": "SUSAN",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "MS CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "1504-154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42776800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darcy McMurtagh
• Maria N Mendoza-Lemes, MD
• Sarayu Meraki, LPC
• Donald J. Meyer, D.O.
• Susan Elaine Miazga, RPH
• Amy A Miles, LPC
• Boyd Miller, MD
• Jessica Leigh Minder, DPM
• Carol Martha Miracle, PHYSICAL THERAPIST
• Lindsey Ann Mongoven, M.S., CCC-SLP

• Speech-Language Pathologist in Cedarburg, WI
• Providers in Cedarburg, 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 Jul 9, 2007; 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.