Melanie Leistikow, MS
Individual provider Active NPI Speech-Language Pathologist · Cottage Grove, WI
NPI 1578055869 · NPPES record last updated Aug 4, 2025
Key facts
- NPI
- 1578055869
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 4873 Baxter Road
Cottage Grove, WI 53527-9676 - Phone
- (608) 577-3814
- NPI assigned
- Jun 1, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Grove Therapy | Speech-Language Pathologist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | WI | Yes |
Addresses
Primary practice location
4873 Baxter Road
Cottage Grove, WI 53527-9676
Mailing address
4873 Baxter Road
Cottage Grove, WI 53527-9676
Other providers in Cottage Grove, WI
- Susan Kees Johnson
- Jason C Kindschi
- Kathleen Anne Knipfer
- Kayla Dawn Koch
- Dylan Steven Ledford
- Joann Long
- Kate A Louther
- M&M Courtesy Transportation LLC
- Mabie Pharmacy, LLC
- Mabie Pharmacy, LLC
All providers in Cottage Grove, 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 Aug 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.