Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396980835 Individual Practitioner Female Practitioner

Kimberli Wagner , SLP

Speech-Language Pathologist • Port Huron, MI

Professional Overview & Biography Verified Profile Summary

Kimberli Wagner, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Port Huron, MI. Practice services are available at 1411 3RD ST STE C under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1411 3rd St Ste C

Port Huron, MI 480605480

Telephone 8103509149
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Port Huron, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
12 Specialists

Practicing in Port Huron, MI (3778 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 MI 7101000426

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.

Practice Associates & Co-Workers

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

9 Associated Practitioners
Sarah Kramer , LMSW

Social Worker

NPI 1003387341

Licensed Master Social Worker

Kevin Papenfus

Occupational Therapist

NPI 1154893469
Cortney Uresti

Occupational Therapist

NPI 1174094296
Jeffrey Hadwin

Social Worker

NPI 1184325359
Robert Roche , PTA

Physical Therapy Assistant

NPI 1558834010

Physical Therapist Assistant

Laura Patchel , OTL

Occupational Therapist

NPI 1720550403

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location December 11, 2018

Registered at 1411 3RD ST STE C, PORT HURON, MI 480605480 (Tel: 8103509149)

📍
Updated Business Mailing Address December 11, 2018

Registered at 2057 EDWARD LN E, KIMBALL, MI 480741925 (Tel: 8105312931)

👤
Provider Name / Credentials Updated December 11, 2018

Recorded as KIMBERLI WAGNER, SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2018

Speech-Language Pathologist (License #7101000426 in MI)

NPI Profile Active December 12, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location December 12, 2008

Registered at 49664 GRATIOT AVE, CHESTERFIELD, MI 480512526 (Tel: 5864356942)

📍
Updated Business Mailing Address December 12, 2008

Registered at 49664 GRATIOT AVE, CHESTERFIELD, MI 480512526 (Tel: 5864356942)

👤
Provider Name / Credentials Updated December 12, 2008

Recorded as KIMBERLI WAGNER, PTA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2008

Physical Therapy Assistant

🟢
Initial NPI Registration & Enumeration December 12, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Kimberli Wagner. Be the first to share your experience!

Sign in to leave a review for Kimberli Wagner

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1396980835
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 12, 2008
Last Update: December 11, 2018
Sole Proprietor: No

Mailing Address

2057 Edward Ln E

Kimball, MI 480741925

Phone: 8105312931

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.