Megan Wallace

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

Greenfield Rehab Agency
3360 Gateway Road
Brookfield, WI 53045

Phone

(262) 923-7101

NPI assigned

Nov 15, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Greenfield Rehab Agency Unc.

  • Skilled Nursing Facility
  • Kewaunee, WI
  • NPI 1801006580
  NPD (past)
• Greenfield Rehabilitation Agency, Inc.

  • Physical Therapist
  • Brookfield, WI
  • NPI 1790230571

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1609641125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GREENFIELD REHAB AGENCY",
            "address_2": "3360 GATEWAY ROAD",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "53045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GREENFIELD REHAB AGENCY",
            "address_2": "3360 GATEWAY ROAD",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "53045",
            "telephone_number": "262-923-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-15",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Walgreen Co
• Kenneth J Waliszewski, DDS MS
• Michael P Waliszewski, DDS, MSD
• Dawn L. Wallace, R.N.
• Danielle Wallenfang
• Robert A. Wallock
• David L Wandschneider, PHD
• William Warmuth, PT
• Kristen Warren, BCBA

• Speech-Language Pathologist in Brookfield, WI
• Providers in Brookfield, 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 Nov 15, 2023; 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.