Individual provider Active NPI

Rosie Ankhartz, SLP

  • Speech-Language Pathologist
  • Portland, ME
National Provider Identifier
1013694629
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP4087 Issued in ME
Practice address
1601 Congress St
Portland, ME 04102-2102
Phone
(207) 774-5710
NPI assigned
Jul 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP4087 ME Primary

Addresses

Primary practice location

1601 Congress St
Portland, ME 04102-2102

Mailing address

183 Brackett St Unit 412
Portland, ME 04102-4016
Phone (516) 232-4420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240510000040 ME Practitioner - Qualified Speech Language Pathologist 2769823525 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP4087MEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Saco Bay Orthopaedic and Sports Physical Therapy, Inc. CurrentSince Apr 18, 2024 Accepting new patients
Saco Bay Orthopaedic and Sports Physical Therapy, Inc Current Accepting new patients
Saco Bay Orthopaedic and Sports Physical Therapy, Inc. CurrentSince Apr 18, 2024 Accepting new patients

Locations

1601 Congress St
Ste 1B
Portland, ME 04102
Phone (207) 774-5677

1601 Congress St
Portland, ME 04102
Phone (207) 661-0100

400 North St
#2
Saco, ME 04072
Phone (207) 282-7121

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1013694629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 BRACKETT ST UNIT 412",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041024016",
            "telephone_number": "516-232-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 CONGRESS ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022102",
            "telephone_number": "207-774-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANKHARTZ",
        "first_name": "ROSIE",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-05",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP4087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.