Speech Leap, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

08011 Issued in MD

Legal business name

SPEECH LEAP, LLC

Practice address

1700 Reisterstown Rd Ste 226
Pikesville, MD 21208-1416

Phone

(410) 394-8794

Fax

(443) 264-1279

NPI assigned

Oct 31, 2016

Organization subpart

No

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

Authorized official

Name

Samara Shalom, M.S., CCC-SLPNPI 1679874507

Title

Owner

Phone

(410) 394-8794

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Tax ID family

Speech Leap2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Speech Leap, LLC

  • Speech-Language Pathologist
  • Pikesville, MD
  • NPI 1720605199
  NPD tax ID

Locations

Practitioners 3

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

• Samara Shalom, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Pikesville, MD
  • NPI 1679874507

  Pediatrics

  Medicare reassignment NPD Authorized official
• Mackenzie Baumgart, M.ED., CCC-SLP

  • Speech-Language Pathologist
  • Pikesville, MD
  • NPI 1659913275
  Medicare reassignment NPD
• Elina Mehrabi, OT

  • Occupational Therapist
  • Towson, MD
  • NPI 1942846860
  Medicare reassignment NPD

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1689126237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 REISTERSTOWN RD STE 226",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212081416",
            "telephone_number": "410-394-8794",
            "fax_number": "443-264-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 REISTERSTOWN RD STE 226",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212081416",
            "telephone_number": "410-394-8794",
            "fax_number": "443-264-1279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1498 Reisterstown Rd",
            "address_2": "#339",
            "address_purpose": "LOCATION",
            "city": "Pikesville",
            "state": "MD",
            "postal_code": "212083817",
            "country_code": "US",
            "telephone_number": "410-394-8794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPEECH LEAP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-31",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "SHALOM",
        "authorized_official_first_name": "SAMARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-394-8794",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "08011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol-Anne Marie Sparks
• Cynthia Lynn Sparks, RNC
• Sanaa Winter Sparrow
• Arlene Speares
• Nikki Spears
• Speech Leap, LLC
• Dominque Spence
• Eileen Spencer, RN
• Shameka Spencer
• Hadassah Sperling, OTR/L

• 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 Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.