Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1386885101 Individual Practitioner Female Practitioner

Brooke A Wagner , ST

Speech-Language Pathologist • Morton, IL

Professional Overview & Biography Verified Profile Summary

Brooke Wagner, ST is a registered healthcare professional specializing in Speech-Language Pathologist in Morton, IL. Practice services are available at 1909 N MORTON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1909 N Morton Ave

Morton, IL 615501426

Telephone 3092665488
Fax 3092669144
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Morton, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
9 Specialists

Practicing in Morton, IL (10321 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License IL 146009517

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Rr Medicare
5377460003 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Laura Luginbuhl , SLP

Speech-Language Pathologist

NPI 1073817334

Speech-Language Pathologist

NPI 1609424050

Physical Therapist, Doctor of Physical Therapy

Ryan Jones , PT

Physical Therapist

NPI 1760533954

Physical Therapist

Matthew Rupiper , PT

Physical Therapist

NPI 1922312545

Physical Therapist

Sara Hodgen , PTA

Physical Therapy Assistant

NPI 1992098438

Physical Therapist Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 19, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location February 19, 2010

Registered at 1909 N MORTON AVE, MORTON, IL 615501426 (Tel: 3092665488)

📍
Updated Business Mailing Address February 19, 2010

Registered at 1909 N MORTON AVE, MORTON, IL 615501426 (Tel: 3092665488)

👤
Provider Name / Credentials Updated February 19, 2010

Recorded as BROOKE WAGNER, ST

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 19, 2010

Speech-Language Pathologist (License #146009517 in IL)

🟢
Initial NPI Registration & Enumeration March 09, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386885101
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 09, 2009
Last Update: February 19, 2010
Sole Proprietor: No

Mailing Address

1909 N Morton Ave

Morton, IL 615501426

Phone: 3092665488

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.