Individual provider Active NPI

Sara A Burley, CCC - SLP

  • Speech-Language Pathologist
  • Abingdon, MD
National Provider Identifier
1619162625
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
05549 Issued in MD
Practice address
37 Kensington Pkwy
Abingdon, MD 21009-1851
Phone
(410) 929-2088
Fax
(443) 356-4359
NPI assigned
Sep 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 05549 MD Primary

Addresses

Primary practice location

37 Kensington Pkwy
Abingdon, MD 21009-1851

Mailing address

37 Kensington Pkwy
Abingdon, MD 21009-1851
Phone (410) 929-2088

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
05549MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Brain Builders Speech and Language Services LLC Speech-Language Pathologist CurrentSince Jul 21, 2024 Accepting new patients
Brain Builders Speech and Language Services LLC Speech-Language Pathologist CurrentSince Jan 1, 2023 Accepting new patients

Locations

37 Kensington Pkwy
Abingdon, MD 21009
Phone (410) 929-2088

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.

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1619162625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 KENSINGTON PKWY",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210091851",
            "telephone_number": "410-929-2088",
            "fax_number": "443-356-4359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 KENSINGTON PKWY",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210091851",
            "telephone_number": "410-929-2088",
            "fax_number": "443-356-4359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURLEY",
        "first_name": "SARA",
        "middle_name": "A",
        "credential": "CCC - SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-12",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "05549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.