Baltimore Speech Therapy, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

BALTIMORE SPEECH THERAPY, LLC

Practice address

1 Sparks Station Rd
Sparks Glencoe, MD 21152-9334

Phone

(443) 834-2660

NPI assigned

Dec 3, 2020

Last updated

Apr 21, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sara B Shoff, CCC-SLPNPI 1538358171

Title

Clinical Director/Owner

Phone

(443) 834-2660

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, and the practitioner matching its NPPES authorized official.

• Sara Beth Shoff, CCC-SLP

  • Speech-Language Pathologist
  • Sparks Glencoe, MD
  • NPI 1538358171
  NPD Authorized official

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713657600000",
    "number": "1922603380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SPARKS STATION RD",
            "city": "SPARKS GLENCOE",
            "state": "MD",
            "postal_code": "211529334",
            "telephone_number": "443-834-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SPARKS STATION RD",
            "city": "SPARKS GLENCOE",
            "state": "MD",
            "postal_code": "211529334",
            "telephone_number": "443-834-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALTIMORE SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2024-04-21",
        "certification_date": "2024-04-21",
        "status": "A",
        "authorized_official_last_name": "SHOFF",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "443-834-2660",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538358171",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica May Abraskin, PT,DPT,CBIS
• Amber Lynn Adkins, CNS, LDN, RN
• Abigail E Alberts, DPT
• Baltimore Ketamine Clinic
• Emily Bledsoe, M.S., CCC-SLP
• Jessica Katherine Daniel, LCSW-C, LICSW
• Julia Margaret Dew, LMT
• Keith Joseph Dewald, CRNP
• Audrey Lane Doeller, OTR/L

• Speech-Language Pathologist in Sparks Glencoe, MD
• Providers in Sparks Glencoe, 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 Apr 21, 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.