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

Sex

Female

Sole proprietor

No

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.

• Preferred Therapy Outpatient Services of Me, LLC

  • Physical Therapist
  • Brunswick, ME
  • NPI 1043973589

  ME, 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)

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 8, 2024.

{
    "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
• Vop Gorham LLC
• Walgreen Eastern Co Inc
• 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.

• All providers in Gorham, ME
• 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.