Organization Active NPI

Sparkling Speech Therapy Inc

  • Speech-Language Pathologist
  • Tracy, CA
National Provider Identifier
1972127249
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SPARKLING SPEECH THERAPY INC
Practice address
4600 S Tracy Blvd Ste 118
Tracy, CA 95377-8105
Phone
(209) 605-6865
NPI assigned
Jun 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Authorized official

Name
Miss Radha R Makker, M.S. CCC-SLPNPI 1801158126
Title
Speech-Language Pathologist/Owner
Phone
(209) 605-6865

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

4600 S Tracy Blvd Ste 118
Tracy, CA 95377-8105

Mailing address

1710 Cutter CT
San Ramon, CA 94583-2680
Phone (209) 605-6865

National Provider Directory

National Provider Directory

Locations

4600 S Tracy Blvd
Ste 118
Tracy, CA 95377
Phone (209) 605-6865

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591142400000",
    "number": "1972127249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 CUTTER CT",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945832680",
            "telephone_number": "209-605-6865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 S TRACY BLVD STE 118",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953778105",
            "telephone_number": "209-605-6865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARKLING SPEECH THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-03",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A",
        "authorized_official_last_name": "MAKKER",
        "authorized_official_first_name": "RADHA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "209-605-6865",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; 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.