Individual provider Active NPI

Danielle Ott, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Guilford, CT
National Provider Identifier
1760275416
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7817 Issued in CT
Practice address
197 Village Pond Rd
Guilford, CT 06437-2049
Phone
(203) 200-0708
Fax
(833) 993-1356
NPI assigned
May 27, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 7817 CT Primary

Addresses

Primary practice location

197 Village Pond Rd
Guilford, CT 06437-2049

Mailing address

197 Village Pond Rd
Guilford, CT 06437-2049
Phone (203) 275-9575

Other practice location 1

1026 Long Cove Rd
Gales Ferry, CT 06335-1812
Phone (203) 200-0708

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251028002544 CT Practitioner - Qualified Speech Language Pathologist 2961991211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1595 Walker Rd
Newport, TN 37821-4623

197 Village Pond Rd
Guilford, CT 06437-2049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7817CTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Over the Top Therapy Single Specialty CurrentSince Aug 20, 2025 Accepting new patients

Locations

1026 Long Cove Rd
Unit A
Gales Ferry, CT 06335
Phone (203) 200-0708

1026 Long Cove Rd
Gales Ferry, CT 06335
Phone (860) 464-6060

Organizations & group practices 1

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": "1748304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1760275416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 VILLAGE POND RD",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372049",
            "telephone_number": "203-275-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 VILLAGE POND RD",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372049",
            "telephone_number": "203-200-0708",
            "fax_number": "833-993-1356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1026 Long Cove Rd",
            "address_purpose": "LOCATION",
            "city": "Gales Ferry",
            "state": "CT",
            "postal_code": "063351812",
            "country_code": "US",
            "telephone_number": "203-200-0708",
            "fax_number": "833-993-1356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTT",
        "first_name": "DANIELLE",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "7817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guilford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.