Danielle Bates

Individual provider Active NPI Speech-Language Pathologist · Cape Elizabeth, ME

NPI 1740639335 · NPPES record last updated Jun 26, 2019

Key facts

NPI
1740639335
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
ST2535 (ME)
Practice address
2 Davis Point LN
Suite 1a
Cape Elizabeth, ME 04107-2620
Phone
(207) 767-9773
Fax
(207) 541-9212
NPI assigned
Jun 6, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare Care Compare profile

Specialty
Qualified Speech Language Pathologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Rehabilitation Services Me LLC (45 clinicians)

Practice addresses (Care Compare)

Scarborough, ME 04074
Phone (877) 407-3422

Medicare participation

Medicare fee-for-service enrollment
Enrolled in ME

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20160823000739 ME Practitioner - Qualified Speech Language Pathologist 9133414691 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Services Me LLC Speech-Language Pathologist Current
since Apr 1, 2022
Accepting new patients
Coastal Rehab, LLC Current
since Jun 6, 2016
Accepting new patients

Locations

2 Davis Point Ln
Unit 1A
Cape Elizabeth, ME 04107
Phone (207) 767-9773

254 Commercial St
Ste 245
Portland, ME 04101
Phone (207) 716-5309

600 Commerce Dr
Scarborough, ME 04074
Phone (207) 730-6781

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X ST2535 ME Yes

Addresses

Primary practice location

2 Davis Point LN
Suite 1a
Cape Elizabeth, ME 04107-2620

Mailing address

2 Davis Point LN
Suite 1a
Cape Elizabeth, ME 04107-2620
Phone (207) 767-9773

Other names

  • Danielle Violette Former name

Other providers in Cape Elizabeth, ME

All providers in Cape Elizabeth, ME · Speech-Language Pathologist in Maine

Sources for this page

Verify at the official NPI Registry.