Gineen Magiera, M.S., CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4398-154 Issued in WI

Practice address

2611 College St
Manitowoc, WI 54220-6621

Phone

(920) 374-1854

NPI assigned

Mar 26, 2013

Last updated

Jul 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gineen Magiera Speech Pathology and Wellness LLC

  dba Phoenix Swallowing Diagnostics

  • Speech-Language Pathologist
  • Manitowoc, WI
  • NPI 1326617333
  Authorized official Same address or phone
• Finger Lakes United Cerebral Palsy, Inc.

  dba Happiness House

  • Clinic/Center
  • Canandaigua, NY
  • NPI 1194835462

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1881936946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 COLLEGE ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542206621",
            "telephone_number": "920-374-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 COLLEGE ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542206621",
            "telephone_number": "920-374-1854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5691 E Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Conesus",
            "state": "NY",
            "postal_code": "144359739",
            "country_code": "US",
            "telephone_number": "585-346-0915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGIERA",
        "first_name": "GINEEN",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-26",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "09581-1",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "4398-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Jean Lukas, FNP-C
• Cheryl L. Lustig, APNP
• Timothy J Maatman, MD
• Stephanie Madson, SOCIAL WORKER
• Alexis Maes, SAC-IT
• June C Magnussen, FNP
• Lindsey Mahler
• Renee Marie Maigatter, D.C.
• Andrew Allen Malkowski, APNP
• Rachel Marie Maltby, DPT

• Speech-Language Pathologist in Manitowoc, WI
• Providers in Manitowoc, 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 Jul 8, 2021; 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.