Jessica L Porter, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

10183 Issued in MD

Practice address

1848 Reisterstown Rd Ste a
Pikesville, MD 21208-1379

Phone

(443) 360-5527

Fax

(877) 353-0384

NPI assigned

Jun 3, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Lea's Place LLC

  dba MD Neuro Rehab & Wellness Center

  • Neurorehabilitation Occupational Therapist
  • Pikesville, MD
  • NPI 1649890633
  NPD

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1487393708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6202 GIST AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212153608",
            "telephone_number": "443-360-5527",
            "fax_number": "877-353-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1848 REISTERSTOWN RD STE A",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212081379",
            "telephone_number": "443-360-5527",
            "fax_number": "877-353-0384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-03",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "10183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND SLP LICENSE #",
            "identifier": "10183",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Solei Fides-Gabriella Poles
• Joshua Pollack
• Amanda Nicole Popp, OTR/L
• Ashton Lynn Popp
• Sarah Kimberly Porrovicchio
• Post Acute Health Care Services LLC
• Alfreda Mardea Potter
• Braden Derrick Douglas Potts
• Chana Poupko
• Lainy Powell

• Speech-Language Pathologist in Pikesville, MD
• Providers in Pikesville, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.