Katelyn Walsh

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

50 New Portland Rd
Gorham, ME 04038-1500

Phone

(207) 839-5757

NPI assigned

May 8, 2024

Last updated

May 8, 2024By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 NPD
• Preferred Therapy Outpatient Services of Me, LLC

  • Physical Therapist
  • Camden, ME
  • NPI 1164285581

  Speech-Language Pathologist

  NPD
• Pediatric Development Center

  • Occupational Therapist
  • Westbrook, ME
  • NPI 1720173321

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1508614280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 HARDWOOD DR",
            "city": "HERMON",
            "state": "ME",
            "postal_code": "044010253",
            "telephone_number": "207-852-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 NEW PORTLAND RD",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381500",
            "telephone_number": "207-839-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "KATELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Village Physical Therapy, Inc
• Village Square Housing Corporation (Inn at Village Square)
• Vop Gorham LLC (Gorham House)
• Walgreen Eastern Co Inc (Walgreens #19692)
• Rebecca I Walker, L.M.T.
• Grace Elaina Ward, LCPC-C
• Susan L Ward
• Alicia Warner, MS, OT/L
• Kimberly Ann Wells, FNP
• Martin Francis Wesolowski, D.O.

• Speech-Language Pathologist in Gorham, ME
• Providers in Gorham, 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 May 8, 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.