Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457564403 Individual Practitioner Male Practitioner

Tim Edward Moldenhauer , MS-CCC-SLP

Speech-Language Pathologist • Wisconsin Rapids, WI

Professional Overview & Biography Verified Profile Summary

Tim Moldenhauer, MS-CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Wisconsin Rapids, WI. Practice services are available at 410 DEWEY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

410 Dewey St

Wisconsin Rapids, WI 544944715

Telephone 7154248500
Fax 7154248502
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Wisconsin Rapids, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.0 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
40 Specialists

Practicing in Wisconsin Rapids, WI (3821 Statewide)

Telehealth Adoption Rate
2.5% 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 607-154

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
42714700 (WI)

Practice Associates & Co-Workers

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

12 Associated Practitioners
Sydney Dallmann

Specialist/Technologist - Athletic Trainer

NPI 1043082035
Wendy Clary

Physical Therapy Assistant

NPI 1083585749
Kasey Fancher , OTR, L

Occupational Therapist

NPI 1174916001

Occupational Therapist Registered, L

Matthew Ironside , MPT

Physical Therapist

NPI 1326272832

Master of Physical Therapy

Elizabeth Ironside , PT

Physical Therapist

NPI 1366814527

Physical Therapist

David Klesmith

Physical Therapy Assistant

NPI 1457217572

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 13, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location March 13, 2013

Registered at 410 DEWEY ST, WISCONSIN RAPIDS, WI 544944715 (Tel: 7154248500)

📍
Updated Business Mailing Address March 13, 2013

Registered at PO BOX 8080, 410 DEWEY STREET, WISCONSIN RAPIDS, WI 544958080 (Tel: 7154248500)

👤
Provider Name / Credentials Updated March 13, 2013

Recorded as TIM MOLDENHAUER, MS-CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2013

Speech-Language Pathologist (License #607-154 in WI)

🟢
Initial NPI Registration & Enumeration May 07, 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: 1457564403
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 07, 2007
Last Update: March 13, 2013
Sole Proprietor: No

Mailing Address

Po Box 8080, 410 Dewey Street

Wisconsin Rapids, WI 544958080

Phone: 7154248500

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.