Active NPI
Brooke Joanne Connor, SLP
- Speech-Language Pathologist
- Chippewa Falls, WI
National Provider Identifier
1629761820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6840-154
- Practice address
- 1446 116TH St
Chippewa Falls, WI 54729-5569 - Phone
- (715) 514-1572
- NPI assigned
- Jun 1, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 6840-154 | WI | Primary |
Addresses
Primary practice location
1446 116TH St
Chippewa Falls, WI 54729-5569
Mailing address
1446 116TH St
Chippewa Falls, WI 54729-5569
Phone (715) 514-1572
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100245611 | Medicaid | WI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | banderson@lakelandtherapyclinic.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
27477 Hwy 64
Suite C
Cornell, WI 54732-5223
Phone (715) 239-0555
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.81 of 100
- Quality
- 85.98
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6840-154 | WI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeland Physical Therapy L.L.C. | Current | Accepting new patients |
Locations
27477 State Highway 64
Ste C
Cornell, WI 54732
Phone (715) 239-0555
Interoperability endpoints
- banderson@lakelandtherapyclinic.com
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Cornell, WI
- NPI 1639492085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780790400000",
"number": "1629761820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1446 116TH ST",
"city": "CHIPPEWA FALLS",
"state": "WI",
"postal_code": "547295569",
"telephone_number": "715-514-1572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1446 116TH ST",
"city": "CHIPPEWA FALLS",
"state": "WI",
"postal_code": "547295569",
"telephone_number": "715-514-1572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNOR",
"first_name": "BROOKE",
"middle_name": "JOANNE",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-01",
"last_updated": "2026-06-07",
"certification_date": "2026-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "6840-154",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100245611",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "banderson@lakelandtherapyclinic.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1446 116th St",
"city": "Chippewa Falls",
"state": "WI",
"country_code": "US",
"postal_code": "547295569",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chippewa Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2026; 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.