Active NPI
Tamika Reynold Leray, MS CCC SLP
- Speech-Language Pathologist
- Suitland, MD
National Provider Identifier
1053665349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 8539
- Practice address
- 4639 Towne Park Rd
Suitland, MD 20746-1608 - Phone
- (202) 594-9321
- NPI assigned
- Nov 8, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 8539 | MA | Primary |
Addresses
Primary practice location
4639 Towne Park Rd
Suitland, MD 20746-1608
Mailing address
4639 Towne Park Rd Unit 1
Suitland, MD 20746-1608
Phone (202) 594-9321
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8539 | MA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seed Speech, LLC | Current | Accepting new patients | |
| JS Therapies, LLC | Past | Accepting new patients |
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.
-
- Hearing and Speech Clinic/Center
- Suitland, MD
- NPI 1639812423
-
- Occupational Therapist
- Christiansted, VI
- NPI 1154608016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686096000000",
"number": "1053665349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4639 TOWNE PARK RD UNIT 1",
"city": "SUITLAND",
"state": "MD",
"postal_code": "207461608",
"telephone_number": "202-594-9321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4639 TOWNE PARK RD",
"city": "SUITLAND",
"state": "MD",
"postal_code": "207461608",
"telephone_number": "202-594-9321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LERAY",
"first_name": "TAMIKA",
"middle_name": "REYNOLD",
"credential": "MS CCC SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-08",
"last_updated": "2023-06-07",
"certification_date": "2022-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "8539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Suitland, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.