Spark Therapy, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SPARK THERAPY, LLC

Practice address

5289 Youngton Rd
Vicksburg, MS 39183-7116

Phone

(601) 618-1510

NPI assigned

Dec 24, 2025

Organization subpart

No

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

Authorized official

Name

Betty J Chiles, RHIT

Title

Credentialing Specialist

Phone

(601) 618-5120

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Babbette Skipper, SLP

  • Speech-Language Pathologist
  • Vicksburg, MS
  • NPI 1497834287
  NPD

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

{
    "created_epoch": "1766534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766534400000",
    "number": "1538025382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5289 YOUNGTON RD",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391837116",
            "telephone_number": "601-618-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5289 YOUNGTON RD",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391837116",
            "telephone_number": "601-618-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARK THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-24",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A",
        "authorized_official_last_name": "CHILES",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "601-618-5120",
        "authorized_official_credential": "RHIT"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007789524",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shenicia Sorrels
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• Southerncare, Inc
• Southerncare, Inc.
• Telecia Sparkman, SLP
• Special Beginnings for Women
• Angela Spencer, SLP
• Carlie Spohn
• Rachael Spray

• Speech-Language Pathologist in Vicksburg, MS
• Providers in Vicksburg, MS by specialty
• Speech-Language Pathologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2025; 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.