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SALLY WELLER MS SLP-CCC
NPI 1487899878
Speech-Language Pathologist in Wausau, WI

Active since December 13, 2008
333 PINE RIDGE BLVD, WAUSAU, WI 54401(715) 847-2826 Get Directions Write a Review

NPPES record last updated: April 5, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sally Weller Ms Slp-ccc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SALLY WELLER MS SLP-CCC (NPI 1487899878) is an individual speech-language pathologist provider in Wausau, Wisconsin, licensed in Wisconsin (3144-154) and active in the NPI registry since December 2008.

NPPES Registry Identity

NPI1487899878
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSALLY WELLERCredential: MS SLP-CCC
Location Address333 PINE RIDGE BLVDWausau, WI 54401-4102
Mailing Address333 Pine Ridge BlvdWausau, WI 54401-4102 · (715) 847-2826
Phone(715) 847-2826
Sole ProprietorNo
Enumeration DateDecember 13, 2008
Last NPPES UpdateApril 5, 2019
✔ NPI 1487899878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in WI · 3144-154
Definition
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.
333 PINE RIDGE BLVD, Wausau, WI 54401
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sally Weller Ms Slp-ccc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

3

Medicare enrollment records show Sally Weller reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Phyt Rehab Of Wisconsin, Inc.
2.6 mi
Physical Therapist
911 JACKSON ST STE 101
Wausau, WI 54403
  • Reassigned Medicare billing, Wisconsin enrollment
  • 15 clinicians in this Medicare group
NPI 1366965931 (718) 434-5100
Empowerme Rehabilitation, LLC
77 mi
Multi-Specialty
5715 N MEADE ST
Appleton, WI 54913
  • Reassigned Medicare billing, Wisconsin enrollment
  • 23 clinicians in this Medicare group
NPI 1134844848 (877) 367-9772
Grace Lutheran Foundation, Inc
88 mi
Physical Therapist
2441 NEW PINE DR
Altoona, WI 54720
  • Reassigned Medicare billing, Wisconsin enrollment
  • 13 clinicians in this Medicare group
NPI 1639960347 (715) 832-3003

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASPIRUS MEDICAL GROUP, INC.
Clinic/Center
333 PINE RIDGE BLVD, SUITE 185
WAUSAU, WI 54401
Marathon County (715) 847-0477
STEWART MICHAEL WENTE MD
Emergency Medicine
333 PINE RIDGE BLVD
WAUSAU, WI 54401
Marathon County (715) 847-2121
KERRY MULLEN
Physical Therapist
333 PINE RIDGE BLVD
WAUSAU, WI 54401
Marathon County (715) 847-2846
MRS. DANIELLE RUNNOE PA
Physician Assistant
333 PINE RIDGE BLVD
WAUSAU, WI 54401
Marathon County (715) 817-2160
DR. SAMANTHA MARIE MORACHE DPT
Physical Therapist
333 PINE RIDGE BLVD
WAUSAU, WI 54401
Marathon County (800) 283-2881
MRS. KIRSTEN SCHWARTZ M.A./ CCC-SLP
Speech-Language Pathologist
333 PINE RIDGE BLVD
WAUSAU, WI 54401
Marathon County (715) 847-2121
DR. JACOB JOSEPH DIRKMAN DO
Emergency Medicine (Emergency Medical Services)
333 PINE RIDGE BLVD
WAUSAU, WI 54401
Marathon County (800) 283-2881
DR. DERRICK ROBSON SIEBERT M.D.
Radiology (Diagnostic Radiology)
333 PINE RIDGE BLVD
WAUSAU, WI 54401
Marathon County (715) 847-2283

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sally Weller's NPI number?

The NPI number for Sally Weller is 1487899878. It was assigned to this individual provider in the NPPES registry on December 13, 2008.

Where is Sally Weller located?

Sally Weller practices at 333 Pine Ridge Blvd, Wausau, WI 54401. The listed phone number is (715) 847-2826.

What is Sally Weller's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Sally Weller enrolled in Medicare?

Yes. Sally Weller is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sally Weller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sally Weller reassigns Medicare benefits to 3 organizations: Phyt Rehab Of Wisconsin, Inc. (Wausau, WI), Empowerme Rehabilitation, LLC (Appleton, WI) and Grace Lutheran Foundation, Inc (Altoona, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sally Weller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sally Weller was last updated on April 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.