Spark Speech Therapy Collective PC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SPARK SPEECH THERAPY COLLECTIVE PC

Practice address

1455 NW Leary Way Ste 400
Seattle, WA 98107-5138

Phone

(818) 217-0460

Fax

(818) 478-3327

NPI assigned

Oct 7, 2019

Organization subpart

No

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

Authorized official

Name

Leslie Bennett, MS, CCC-SLPNPI 1043505464

Title

Owner

Phone

(818) 217-0460

Specialties & licenses 1

Addresses

Other names 1

• Spark Therapy Collective Doing business as

Locations

Practitioners 1

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

• Leslie Leatham Bennett, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Burbank, CA
  • NPI 1043505464
  NPD Authorized official

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1457992893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 NW LEARY WAY STE 400",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981075138",
            "telephone_number": "818-217-0460",
            "fax_number": "818-478-3327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 NW LEARY WAY STE 400",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981075138",
            "telephone_number": "818-217-0460",
            "fax_number": "818-478-3327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 N Glenoaks Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915021118",
            "country_code": "US",
            "telephone_number": "818-217-0460",
            "fax_number": "818-478-3327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "132 W 31st St Fl 9",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100013406",
            "country_code": "US",
            "telephone_number": "212-287-4835",
            "fax_number": "818-478-3327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPARK SPEECH THERAPY COLLECTIVE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-07",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-217-0460",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spark Therapy Collective",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Spark Therapy Collective",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laurence Craig Spangler, OTR/L
• Megan Spangler, ARNP
• Michael Robert Spano, L.AC.
• Cindy Sue Spanton
• Zachary Elias Sparer, ND
• Sparks Chiropractic Inc
• Sparks Physical Therapy PLLC
• Addison Rayne Sparks
• Catherine Joy Sparks, D.C.
• John W Sparks, M.D.

• Speech-Language Pathologist in Seattle, WA
• Providers in Seattle, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.