NPIMap

Organization Active NPI

Sunburst Speech Therapy, LLC

  • Speech-Language Pathologist
  • Atlanta, GA
National Provider Identifier
1124978010
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SUNBURST SPEECH THERAPY, LLC
Practice address
960 Cherokee Ave SE Unit a
Atlanta, GA 30315-2004
Phone
(540) 314-8892
NPI assigned
Jan 30, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Authorized official

Name
Jenna MattoxNPI 1023452869
Title
Speech Language Pathologist
Phone
(540) 314-8892

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

960 Cherokee Ave SE Unit a
Atlanta, GA 30315-2004

Mailing address

960 Cherokee Ave SE Unit a
Atlanta, GA 30315-2004

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1769731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769731200000",
    "number": "1124978010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 CHEROKEE AVE SE UNIT A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303152004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 CHEROKEE AVE SE UNIT A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303152004",
            "telephone_number": "540-314-8892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNBURST SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-30",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A",
        "authorized_official_last_name": "MATTOX",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "540-314-8892"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.