Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720754229 Individual Practitioner Male Practitioner

Trevor Kyle Harris , CCC-SLP

Speech-Language Pathologist • Kenosha, WI

Professional Overview & Biography Verified Profile Summary

Trevor Harris, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Kenosha, WI. Practice services are available at 7610 PERSHING BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7610 Pershing Blvd

Kenosha, WI 531424318

Telephone 2629483600
Associated Practice Facility / Clinic
🏢 Aurora Quick Care, Llc Facility NPI 1609820729

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Kenosha, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.2 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
75 Specialists

Practicing in Kenosha, 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

CMS Verified: 2025-01-29
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License WI 4545154

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

Medicaid State Provider ID
100185864 (WI)

Practice Associates & Co-Workers

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

37 Associated Practitioners
Rachel Giese , OTR

Occupational Therapist

NPI 1003348285

Occupational Therapist Registered

Joseph Blando

Clinic/Center - Physical Therapy

NPI 1053297937
NPI 1073068722

Physical Therapist, Doctor of Physical Therapy

Ellen Fey , OT

Occupational Therapist

NPI 1083452718

Occupational Therapist

Annie Cai , SLP

Speech-Language Pathologist

NPI 1144892324

Speech-Language Pathologist

Danica Mesina , OTR, L

Occupational Therapist

NPI 1184361057

Occupational Therapist Registered, L

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location November 04, 2024

Registered at 7610 PERSHING BLVD, KENOSHA, WI 531424318 (Tel: 2629483600)

📍
Updated Business Mailing Address November 04, 2024

Registered at PO BOX 735044, CHICAGO, IL 606735044 (Tel: 8003262250)

NPI Profile Active August 17, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location August 17, 2021

Registered at 7300 WASHINGTON AVE, MOUNT PLEASANT, WI 534066525 (Tel: 2623216000)

📍
Updated Business Mailing Address August 17, 2021

Registered at 4410 S BEAUMONT AVE, KANSASVILLE, WI 531399528

👤
Provider Name / Credentials Updated August 17, 2021

Recorded as TREVOR HARRIS, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2021

Speech-Language Pathologist (License #4545154 in WI)

🟢
Initial NPI Registration & Enumeration August 17, 2021

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 Trevor Harris. Be the first to share your experience!

Sign in to leave a review for Trevor Harris

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

NPI Administrative Meta

NPI Number: 1720754229
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 17, 2021
Last Update: January 29, 2025
Sole Proprietor: Yes

Mailing Address

Po Box 735044

Chicago, IL 606735044

Phone: 8003262250

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.