Individual provider Active NPI

Anne Marie Markofski, SLP

  • Speech-Language Pathologist
  • Greendale, WI
National Provider Identifier
1568739977
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2242-154 Issued in WI
Practice address
7711 Freeland CT
Greendale, WI 53129-1658
Phone
(414) 210-0088
Fax
(414) 509-1630
NPI assigned
Nov 30, 2011
Last updated
Apr 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2242-154 WI Primary

Addresses

Primary practice location

7711 Freeland CT
Greendale, WI 53129-1658

Mailing address

7711 Freeland CT
Greendale, WI 53129-1658
Phone (414) 210-0088

Other practice location 1

12645 W Scarborough Ct
New Berlin, WI 53151-9037
Phone (414) 220-3231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180220000182 WI Practitioner - Qualified Speech Language Pathologist 5799046561 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Therapy at Home LLCGroup PAC ID 0244522217, 10 clinicians
Muslim Community and Health Center of Wisconsin Inc.Group PAC ID 7618258062, 17 clinicians

Practice addresses (Care Compare)

7711 Freeland CT
Greendale, WI 53129-1658
Phone (414) 210-0088

803 W Layton Ave
Milwaukee, WI 53221-2426
Phone (414) 939-4411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2242-154WIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Podiatry Services CurrentSince Jun 1, 2023 Accepting new patients
Therapy at Home LLC CurrentSince Feb 1, 2018 Accepting new patients
Muslim Community and Health Center of Wisconsin Inc CurrentSince Jun 1, 2023 Accepting new patients

Locations

307 W Layton Ave
Unit 2B
Milwaukee, WI 53207

803 W Layton Ave
Milwaukee, WI 53221
Phone (414) 253-8330

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1568739977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7711 FREELAND CT",
            "city": "GREENDALE",
            "state": "WI",
            "postal_code": "531291658",
            "telephone_number": "414-210-0088",
            "fax_number": "414-509-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7711 FREELAND CT",
            "city": "GREENDALE",
            "state": "WI",
            "postal_code": "531291658",
            "telephone_number": "414-210-0088",
            "fax_number": "414-509-1630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12645 W Scarborough Ct",
            "address_purpose": "LOCATION",
            "city": "New Berlin",
            "state": "WI",
            "postal_code": "531519037",
            "country_code": "US",
            "telephone_number": "414-220-3231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARKOFSKI",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-30",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "2242-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greendale, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; 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.

Verify at the official NPI Registry.