HOLLY BRADTMUELLER MS CCC-SLP
NPI 1609492891
Speech-Language Pathologist in Fort Wayne, IN

Q: What is Holly Bradtmueller's NPI number?

The NPI number for Holly Bradtmueller is 1609492891. It was assigned to this individual provider in the NPPES registry on June 23, 2020.

Q: What is Holly Bradtmueller's specialty?

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

Active since June 23, 2020

1400 MEDICAL PARK DR, FORT WAYNE, IN 46825(260) 740-4358 Get Directions Write a Review

NPPES record last updated: May 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 15, 2026, Jun 23, 2020 (2 updates tracked since 2020).

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About Holly Bradtmueller Ms Ccc-slp NPPES

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

HOLLY BRADTMUELLER MS CCC-SLP (NPI 1609492891) is an individual speech-language pathologist provider in Fort Wayne, Indiana, licensed in Indiana (22008595A) and active in the NPI registry since June 2020. She is a graduate of Other (2022).

NPPES Registry Identity

NPI1609492891

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameHOLLY BRADTMUELLERCredential: MS CCC-SLP

Location Address1400 MEDICAL PARK DRFort Wayne, IN 46825-5832

Mailing Address828 W Hamilton RdFort Wayne, IN 46819-9756 · (260) 740-4358

Phone(260) 740-4358

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJune 23, 2020

Last NPPES UpdateMay 15, 20262 updates tracked since enumeration

NPPES CertifiedMay 15, 2026

✔ NPI 1609492891 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 IN · 22008595A

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.

1400 MEDICAL PARK DR, Fort Wayne, IN 46825

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holly Bradtmueller Ms Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476024878

PECOS Enrollment IDI20260606000183

Other Providers at the Same Location NPPES 6

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

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