Individual provider Active NPI

Annie Rabe

  • Speech-Language Pathologist
  • Kenmore, NY
National Provider Identifier
1396339891
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
2900 Delaware Ave
Kenmore, NY 14217-2309
Phone
(315) 559-1632
NPI assigned
Feb 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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 Primary

Addresses

Primary practice location

2900 Delaware Ave
Kenmore, NY 14217-2309

Mailing address

2900 Delaware Ave
Kenmore, NY 14217-2309

Electronic endpoints 4

TypeEndpointUseAffiliation
SOAP URL Kenmore
CONNECT URL arabe@diversifiedrehabservices.com
SOAP URL Kenmore
CONNECT URL arabe@diversifiedrehabservices.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220215001757 NY Practitioner - Qualified Speech Language Pathologist 1355734302 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Buffalo Speech-Language Pathology, PCGroup PAC ID 9032534623, 10 clinicians
Brain Health Medical PCGroup PAC ID 6709229073, 11 clinicians

Practice addresses (Care Compare)

1404 Sweet Home Rd
Suite 9
Amherst, NY 14228-2778
Phone (716) 817-8855

222 Broadway
Unit 2135
New York, NY 10038-2510
Phone (888) 818-2059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brain Health Medical PC CurrentSince Apr 22, 2024 Accepting new patients
Buffalo Speech-Language Pathology, PC Speech-Language Pathologist CurrentSince Feb 1, 2022 Accepting new patients
Isaac Health, P.a. Speech-Language Pathologist PastSince Apr 22, 2024 Accepting new patients

Locations

1404 Sweet Home Rd
Ste 9
Buffalo, NY 14228
Phone (716) 817-8855

222 Broadway
Unit 2135
New York, NY 10038

7 Rye Ridge Plz
Rye Brook, NY 10573
Phone (914) 226-0118

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": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1396339891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 DELAWARE AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142172309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 DELAWARE AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142172309",
            "telephone_number": "315-559-1632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABE",
        "first_name": "ANNIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Kenmore",
            "affiliation": "N",
            "address_1": "2900 Delaware Ave",
            "city": "Kenmore",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142172309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "arabe@diversifiedrehabservices.com",
            "affiliation": "N",
            "address_1": "2900 Delaware Ave",
            "city": "Kenmore",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142172309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Kenmore",
            "affiliation": "N",
            "address_1": "2900 Delaware Ave",
            "city": "Kenmore",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142172309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "arabe@diversifiedrehabservices.com",
            "affiliation": "N",
            "address_1": "2900 Delaware Ave",
            "city": "Kenmore",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142172309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kenmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.