Active NPI
Mark Sprague, MS, CCC-SLP
- Speech-Language Pathologist
- Lincoln, RI
National Provider Identifier
1881929172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP00953
- Practice address
- 640 George Washington Highway
Lincoln, RI 02865 - Phone
- (401) 359-4898
- NPI assigned
- Oct 5, 2009
- Last updated
- Jul 1, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP100827 | MA | |
| Speech-Language Pathologist | 235Z00000X | SP00953 | RI | Primary |
Addresses
Primary practice location
640 George Washington Highway
Lincoln, RI 02865
Mailing address
4 Maplewood Dr
Cumberland, RI 02864-3210
Phone (203) 829-5244
Other practice location 1
166 Bay Spring Ave
Barrington, RI 02806-1393
Phone (401) 359-4898
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
125 Quaker Hill LN
Portsmouth, RI 02871-4072
Phone (877) 407-3422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP100827 | MA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehab of Ri PC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
7 Carnegie Plz
Cherry Hill, NJ 08003
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751328000000",
"number": "1881929172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 MAPLEWOOD DR",
"city": "CUMBERLAND",
"state": "RI",
"postal_code": "028643210",
"telephone_number": "203-829-5244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 GEORGE WASHINGTON HIGHWAY",
"city": "LINCOLN",
"state": "RI",
"postal_code": "02865",
"telephone_number": "401-359-4898"
}
],
"practiceLocations": [
{
"address_1": "166 Bay Spring Ave",
"address_purpose": "LOCATION",
"city": "Barrington",
"state": "RI",
"postal_code": "028061393",
"country_code": "US",
"telephone_number": "401-359-4898",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPRAGUE",
"first_name": "MARK",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-05",
"last_updated": "2025-07-01",
"certification_date": "2025-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "SLP100827",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "RI",
"license": "SP00953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.