Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457692428 Individual Practitioner Female Practitioner

Carly Marie Wagner , MS, CCC-SLP

Speech-Language Pathologist • Hudson, WI

Professional Overview & Biography Verified Profile Summary

Carly Wagner, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Hudson, WI. Practice services are available at 742 STERBENZ DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

742 Sterbenz Dr
St Croix Therapy

Hudson, WI 540168327

Telephone 7153862128
Fax 7153866119
Associated Practice Facility / Clinic
🏢 St Croix Therapy Inc Facility NPI 1669672911

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Hudson, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.0 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
38 Specialists

Practicing in Hudson, WI (3821 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 WI 3781

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 Wisconsin License
3781 (WI)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Martha Swanson , PTA

Physical Therapy Assistant

NPI 1003072992

Physical Therapist Assistant

Abbigail Mertig , MA, OTR

Occupational Therapist

NPI 1003241217

Master of Arts, Occupational Therapist Registered

Brooke John

Speech-Language Pathologist

NPI 1003474891
Jeanne Pratt , MST, CCC-SLP

Speech-Language Pathologist

NPI 1003911678

MST, Speech-Language Pathologist (Certificate of Clinical Competence)

Trisha Stork , COTA

Occupational Therapy Assistant

NPI 1013185081

Certified Occupational Therapy Assistant

Susan Bopray

Speech-Language Pathologist

NPI 1013389782

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 16, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location September 16, 2013

Registered at 742 STERBENZ DR, ST CROIX THERAPY, HUDSON, WI 540168327 (Tel: 7153862128)

📍
Updated Business Mailing Address September 16, 2013

Registered at 742 STERBENZ DR, ST CROIX THERAPY, HUDSON, WI 540168327 (Tel: 7153862128)

👤
Provider Name / Credentials Updated September 16, 2013

Recorded as CARLY WAGNER, MS, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2013

Speech-Language Pathologist (License #3781 in WI)

🟢
Initial NPI Registration & Enumeration March 15, 2013

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 Carly Wagner. Be the first to share your experience!

Sign in to leave a review for Carly Wagner

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

NPI Administrative Meta

NPI Number: 1457692428
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 15, 2013
Last Update: September 16, 2013
Sole Proprietor: No

Mailing Address

742 Sterbenz Dr, St Croix Therapy

Hudson, WI 540168327

Phone: 7153862128

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.