Jordan Peroutky, SLP
NPI 1194396036 · Speech-Language Pathologist · Green Bay, WI
Enrolled with Medicare as Practitioner - Qualified Speech Language Pathologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jordan Peroutky, SLP is a Speech-Language Pathologist provider in Green Bay, WI (NPI 1194396036).
Provider details
- NPI number
- 1194396036
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- SLP
- Sex
- Female
- Sole proprietor
- No
- License
- 5258-154 (WI)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (4)
- 555 Redbird CirDe Pere, WI 54115-7977Phone: (920) 338-6870Fax: (920) 338-6829
- 2820 Roosevelt RdMarinette, WI 54143-3834Phone: (715) 735-5225Fax: (715) 735-5388
- 820 Arbutus AveOconto, WI 54153-2004Phone: (920) 835-1100
- 100 County Road BShawano, WI 54166-7072Phone: (715) 526-7370Fax: (715) 526-7294
Registry dates
- Enumerated
- 2021-07-01
- Last updated
- 2022-12-28
- Certified
- 2022-12-28
Frequently asked questions
- What is Jordan Peroutky's NPI number?
- Jordan Peroutky's National Provider Identifier (NPI) is 1194396036, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jordan Peroutky's specialty?
- Jordan Peroutky is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist (Speech, Language and Hearing Service Providers).
- Where is Jordan Peroutky located?
- Jordan Peroutky's practice location on file with NPPES is 725 S Webster Ave, Green Bay, WI 54301-3500.
- What is Jordan Peroutky's phone number?
- The practice phone number listed in the NPPES registry for Jordan Peroutky is (920) 433-7995.
- Does Jordan Peroutky accept Medicare?
- Jordan Peroutky is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jordan Peroutky's NPI active?
- Yes — Jordan Peroutky's NPI (1194396036) is active in the NPPES registry as of the last update on 2022-12-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.