Active NPI
Leslie Comer-Porter
- Speech-Language Pathologist
- Huntington, WV
National Provider Identifier
1407956337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP-0383
- Practice address
- 845 4TH Ave Ste 302a
Huntington, WV 25701-1428 - Phone
- (304) 523-1164
- NPI assigned
- Sep 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP-0383 | WV | Primary |
| Speech-Language Pathologist | 235Z00000X | SP4787 | OH |
Addresses
Primary practice location
845 4TH Ave Ste 302a
Huntington, WV 25701-1428
Mailing address
2032 Enslow Blvd
Huntington, WV 25701-4914
Phone (304) 529-3416
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP4787 | OH | MD | Speech-Language Pathologist |
| SLP-0383 | WV | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Developmental Therapy Center, Inc | Speech-Language Pathologist | Past | Accepting new patients |
| Developmental Therapy Center, Inc. | 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.
-
- Speech-Language Pathologist
- Huntington, WV
- NPI 1073828158
-
- Public Health or Welfare Agency
- Huntington, WV
- NPI 1801040746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407956337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2032 ENSLOW BLVD",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257014914",
"telephone_number": "304-529-3416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 4TH AVE STE 302A",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257011428",
"telephone_number": "304-523-1164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMER-PORTER",
"first_name": "LESLIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WV",
"license": "SLP-0383",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP4787",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.