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SPARK THERAPY, LLC
NPI 1538025382
Speech-Language Pathologist in Vicksburg, MS

Active since December 24, 2025
5289 YOUNGTON RD, VICKSBURG, MS 39183(601) 618-1510 Get Directions Write a Review

NPPES record last updated: December 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Spark Therapy, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPARK THERAPY, LLC (NPI 1538025382) is a healthcare organization registered as a speech-language pathologist in Vicksburg, Mississippi and active in the NPI registry since December 2025. The organization lists Betty J Chiles, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1538025382
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameSPARK THERAPY, LLC
Location Address5289 YOUNGTON RDVicksburg, MS 39183-7116
Mailing Address5289 Youngton RdVicksburg, MS 39183-7116 · (601) 618-1510
Phone(601) 618-1510
Organization SubpartNo
Authorized OfficialBetty J ChilesCredentialing Specialist · (601) 618-5120
Enumeration DateDecember 24, 2025
NPPES CertifiedDecember 24, 2025
✔ NPI 1538025382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
5289 YOUNGTON RD, Vicksburg, MS 39183
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Other Identifiers 1

Medicaid007789524MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spark Therapy, LLC's NPI number?

The NPI number for Spark Therapy, LLC is 1538025382. It was assigned to this organization in the NPPES registry on December 24, 2025.

Where is Spark Therapy, LLC located?

Spark Therapy, LLC is located at 5289 Youngton Rd, Vicksburg, MS 39183. The listed phone number is (601) 618-1510.

What is Spark Therapy, LLC's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Spark Therapy, LLC was last updated on December 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.