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TRENTON MANNETTER M.S. CCC-SLP
NPI 1750003836
Speech-Language Pathologist in Madison, WI

Active since September 14, 2022
333 W MAIN ST, MADISON, WI 53703(608) 283-2000 Get Directions Write a Review

NPPES record last updated: September 14, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Trenton Mannetter M.s. Ccc-slp NPPES

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

TRENTON MANNETTER M.S. CCC-SLP (NPI 1750003836) is an individual speech-language pathologist provider in Madison, Wisconsin and active in the NPI registry since September 2022. He is a graduate of Other (2018).

NPPES Registry Identity

NPI1750003836
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameTRENTON MANNETTERCredential: M.S. CCC-SLP
Location Address333 W MAIN STMadison, WI 53703-2777
Mailing Address1406 W Main StStoughton, WI 53589-1935 · (715) 338-8606
Phone(608) 283-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 14, 2022
NPPES CertifiedSeptember 14, 2022
✔ NPI 1750003836 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
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 W MAIN ST, Madison, WI 53703
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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)

Trenton Mannetter M.s. Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587187653
PECOS Enrollment IDI20250328003161

Medicare Billing Reassignment

Medicare enrollment records show Trenton Mannetter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Active Therapy Mn
234 mi
Physical Therapist
10300 HENNEPIN TOWN RD
Eden Prairie, MN 55347
  • Reassigned Medicare billing, Minnesota enrollment
  • 27 clinicians in this Medicare group
NPI 1730835257 (612) 562-8204

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 13

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

KIMBERLY ANN STACE COTA
Occupational Therapy Assistant
333 W MAIN ST
MADISON, WI 53703
Dane County (608) 283-2178
ADAM NELL PTA
Physical Therapy Assistant
333 W MAIN ST
MADISON, WI 53703
Dane County (608) 283-2000
MS. KAREN B HURST MA CCC-SLP
Speech-Language Pathologist
333 W MAIN ST
MADISON, WI 53703
Dane County (608) 283-2000
BRIAN LEE ETHRIDGE PTA
Physical Therapy Assistant
333 W MAIN ST
MADISON, WI 53703
Dane County (608) 283-2123
JONI MAGESTRO
Occupational Therapist
333 W MAIN ST
MADISON, WI 53703
Dane County (608) 283-2178
ALEXANDER MENDENHALL
Physical Therapist
333 W MAIN ST
MADISON, WI 53703
Dane County (608) 292-2661
DEBORAH LYNN BORTH COTA
Occupational Therapy Assistant
333 W MAIN ST
MADISON, WI 53703
Dane County (608) 283-2000
GABRIELLE LOKKEN
Occupational Therapist
333 W MAIN ST
MADISON, WI 53703
Dane County (608) 283-2000

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 Trenton Mannetter's NPI number?

The NPI number for Trenton Mannetter is 1750003836. It was assigned to this individual provider in the NPPES registry on September 14, 2022.

Where is Trenton Mannetter located?

Trenton Mannetter practices at 333 W Main St, Madison, WI 53703. The listed phone number is (608) 283-2000.

What is Trenton Mannetter's specialty?

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

Is Trenton Mannetter enrolled in Medicare?

Yes. Trenton Mannetter is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Trenton Mannetter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Trenton Mannetter reassigns Medicare benefits to Active Therapy Mn (Eden Prairie, MN). The 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 Trenton Mannetter'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 Trenton Mannetter was last updated on September 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.