Courtney Thims, M.S. CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Portland, ME
NPI 1265663298 · NPPES record last updated Aug 8, 2009
Key facts
- NPI
- 1265663298
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP1596 (ME)
- Practice address
- 24 Pineloch Dr
Portland, ME 04103-2910 - Phone
- (207) 899-0714
- NPI assigned
- Aug 8, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fox Rehabilitation Services Me LLC
Practice addresses (Care Compare)
Brunswick, ME 04011
Phone (877) 407-3422
Scarborough, ME 04074
Phone (877) 407-3422
Falmouth, ME 04105
Phone (877) 407-3422
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100319000393 | ME | Practitioner - Qualified Speech Language Pathologist | 4587799259 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1596 | ME | MD | Neuromusculoskeletal Medicine & OMM Physician |
| SP1596 | ME | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services Me LLC | Speech-Language Pathologist | Current |
Accepting new patients |
| Coastal Rehab, LLC | Current |
Accepting new patients |
Locations
2 Davis Point Ln
Unit 1A
Cape Elizabeth, ME 04107
Phone (207) 767-9773
245 Commercial St
Ste 245
Portland, ME 04101
Phone (561) 223-6469
600 Commerce Dr
Scarborough, ME 04074
Phone (207) 730-6781
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP1596 | ME | Yes |
Addresses
Primary practice location
24 Pineloch Dr
Portland, ME 04103-2910
Mailing address
24 Pineloch Dr
Portland, ME 04103-2910
Phone (207) 899-0714
Other providers in Portland, ME
- Denise M Theriault
- Donald Leon Theriault
- Clifford Thibodeau
- John Thibodeau
- Monica Thim
- Think Tank Hyperbarics
- Thistle Wellness LLC
- Thistle Wellness LLC
- Ananth Krishna Ferguson Thitte
- Anne Thomas
All providers in Portland, ME · Speech-Language Pathologist in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.