Individual provider Active NPI

Jo Anne Hadler

  • Speech-Language Pathologist
  • Cedarburg, WI
National Provider Identifier
1811163447
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
773-154 Issued in WI
Practice address
437 Woodhaven Dr
Cedarburg, WI 53012-9116
Phone
(262) 365-3457
NPI assigned
May 4, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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 773-154 WI Primary

Addresses

Primary practice location

437 Woodhaven Dr
Cedarburg, WI 53012-9116

Mailing address

437 Woodhaven Dr
Cedarburg, WI 53012-9116
Phone (262) 365-3457

Other identifiers 1

IdentifierTypeStateIssuer
42681200MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250827003560 WI Practitioner - Qualified Speech Language Pathologist 3274034707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sport Clinic Physical Therapy IncGroup PAC ID 0244285187, 8 clinicians

Practice addresses (Care Compare)

10620 N Port Washington Rd
Suite 202
Mequon, WI 53092-5048
Phone (414) 351-5794

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabcare Group East, LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1209859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223337600000",
    "number": "1811163447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 WOODHAVEN DR",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530129116",
            "telephone_number": "262-365-3457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 WOODHAVEN DR",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530129116",
            "telephone_number": "262-365-3457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADLER",
        "first_name": "JO",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-04",
        "last_updated": "2008-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "773-154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42681200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedarburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.