Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1467625269 Individual Practitioner Female Practitioner

Sandra Renee Moog , MS, CCC-SLP

Speech-Language Pathologist • Milwaukee, WI

Professional Overview & Biography Verified Profile Summary

Sandra Moog, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Milwaukee, WI. Practice services are available at 3540 S 43RD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3540 S 43rd St

Milwaukee, WI 532201502

Telephone 4143282104
Associated Practice Facility / Clinic
🏢 Ehf Sunrise Op, Llc Facility NPI 1942334883

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Milwaukee, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.7 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
290 Specialists

Practicing in Milwaukee, 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 2681-154

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
42586400 (WI)

Practice Associates & Co-Workers

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

5 Associated Practitioners
Shane Frasher , COTA

Occupational Therapy Assistant

NPI 1205487444

Certified Occupational Therapy Assistant

Jeanette Kopp

Occupational Therapist

NPI 1467611368
Rachel Burton , OTR

Occupational Therapist

NPI 1649312000

Occupational Therapist Registered

John Feeley

Skilled Nursing Facility

NPI 1679732572
Jennifer Shay , OTR

Occupational Therapist

NPI 1851581839

Occupational Therapist Registered

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 12, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location April 12, 2008

Registered at 3540 S 43RD ST, MILWAUKEE, WI 532201502 (Tel: 4143282104)

📍
Updated Business Mailing Address April 12, 2008

Registered at 3456 S 35TH ST, MILWAUKEE, WI 532154104 (Tel: 4143334680)

👤
Provider Name / Credentials Updated April 12, 2008

Recorded as SANDRA MOOG, MS/CCC-SLP

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

Speech-Language Pathologist (License #2681-154 in WI)

🟢
Initial NPI Registration & Enumeration April 12, 2008

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: 1467625269
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 12, 2008
Last Update: April 12, 2008
Sole Proprietor: Yes

Mailing Address

3456 S 35th St

Milwaukee, WI 532154104

Phone: 4143334680

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.