Laura Boutin, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP-2414 Issued in ME

Practice address

29 Maurice Dr
Brunswick, ME 04011-3270

Phone

(207) 725-7495

NPI assigned

Apr 30, 2015

Last updated

Apr 24, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Preferred Therapy Outpatient Services of Me, LLCGroup PAC ID 0345639001, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Preferred Therapy Outpatient Services of Me, LLC

  • Physical Therapist
  • Brunswick, ME
  • NPI 1043973589

  Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD
• Preferred Therapy Outpatient Services of Me, LLC

  • Physical Therapist
  • Camden, ME
  • NPI 1164285581

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1508243312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 E ELM ST",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040967513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 MAURICE DR",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113270",
            "telephone_number": "207-725-7495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "158 Ross Rd",
            "address_purpose": "LOCATION",
            "city": "Kennebunk",
            "state": "ME",
            "postal_code": "040436532",
            "country_code": "US",
            "telephone_number": "207-604-7115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUTIN",
        "first_name": "LAURA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-30",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP-2414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA",
            "identifier": "14130627",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy B Bosinske, PA C
• Lawrence David Bossong, DDS
• Lilia Bottino, LMSW-CC
• Gerard P. Bouchard, RPH
• Christiana Boucher
• Kimberly Ann Boutwell, FNP
• Megan A Bowdich, LCPC
• Bproactive Health PLLC
• Eva Anne Bradford, D.O.
• Buffie Breed, OT/L

• Speech-Language Pathologist in Brunswick, ME
• Providers in Brunswick, ME by specialty
• Speech-Language Pathologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; 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.