Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1982813762 Individual Practitioner Male Practitioner

Brian Kothbauer

Speech-Language Pathologist • Stoughton, WI

Professional Overview & Biography Verified Profile Summary

Brian Kothbauer is a registered healthcare professional specializing in Speech-Language Pathologist in Stoughton, WI. Practice services are available at 814 JACKSON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

814 Jackson St

Stoughton, WI 535891520

Telephone 6088736448
Associated Practice Facility / Clinic
🏢 Nazareth Facilities, Llc Facility NPI 1912991092

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Stoughton, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
12 Specialists

Practicing in Stoughton, 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 2799-154

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
42585200 (WI)

Practice Associates & Co-Workers

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

9 Associated Practitioners
Nicole Holtz , COTA

Occupational Therapy Assistant

NPI 1003052911

Certified Occupational Therapy Assistant

NPI 1053528083

Physical Therapist

Suzanne Ridgeway , PT

Physical Therapist

NPI 1164632493

Physical Therapist

Lynn Mckenzie , MS

Speech-Language Pathologist

NPI 1255571329

Master of Science

Lynelle Palma , PT

Physical Therapist

NPI 1427294743

Physical Therapist

NPI 1467059840

Physical Therapist, Doctor of Physical Therapy

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 814 JACKSON ST, STOUGHTON, WI 535891520 (Tel: 6088736448)

📍
Updated Business Mailing Address July 09, 2007

Registered at 323 BERGAMONT BLVD, OREGON, WI 535753849

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as BRIAN KOTHBAUER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Speech-Language Pathologist (License #2799-154 in WI)

🟢
Initial NPI Registration & Enumeration May 21, 2007

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: 1982813762
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 21, 2007
Last Update: July 09, 2007
Sole Proprietor: Yes

Mailing Address

323 Bergamont Blvd

Oregon, WI 535753849

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.