Organization Active NPI

Emily Belter SLP LLC

  • Speech-Language Pathologist
  • Port Washington, WI
National Provider Identifier
1720544455
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
EMILY BELTER SLP LLC
Practice address
110 S Wisconsin St Ste 8
Port Washington, WI 53074-2249
Phone
(262) 689-8031
NPI assigned
Feb 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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

Authorized official

Name
Emily BelterNPI 1013241777
Title
Owner
Phone
(262) 689-8031

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

110 S Wisconsin St Ste 8
Port Washington, WI 53074-2249

Mailing address

110 S Wisconsin St Ste 8
Port Washington, WI 53074-2249
Phone (262) 689-8031

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190320001690 WI Part B Supplier - Clinic/Group Practice 1052651577 Receives reassigned benefits from 1 practitioner
Practice locations: Mequon, WI

National Provider Directory

National Provider Directory

Locations

1017 W Glen Oaks Ln
Ste 163
Mequon, WI 53092
Phone (262) 689-8031

11512 N Port Washington Rd
Ste 101E
Mequon, WI 53092
Phone (262) 689-8031

110 S Wisconsin St
Ste 8
Port Washington, WI 53074
Phone (262) 689-8031

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550534400000",
    "number": "1720544455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S WISCONSIN ST STE 8",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "530742249",
            "telephone_number": "262-689-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S WISCONSIN ST STE 8",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "530742249",
            "telephone_number": "262-689-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILY BELTER SLP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-19",
        "last_updated": "2019-02-19",
        "status": "A",
        "authorized_official_last_name": "BELTER",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-689-8031"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Washington, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.