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SHANNON LEARY CCC-SLP
NPI 1952712606
Speech-Language Pathologist in Waltham, MA

Active since May 15, 2014
220 BEAR HILL RD STE 102, WALTHAM, MA 02451(781) 790-8479(781) 281-9181 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon Leary Ccc-slp NPPES

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

SHANNON LEARY CCC-SLP (NPI 1952712606) is an individual speech-language pathologist provider in Waltham, Massachusetts, licensed in Massachusetts (SLP9223) and active in the NPI registry since May 2014. She is a graduate of Other (2013).

NPPES Registry Identity

NPI1952712606
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSHANNON LEARYCredential: CCC-SLP
Location Address220 BEAR HILL RD STE 102Waltham, MA 02451
Mailing Address220 Bear Hill Rd Ste 102Waltham, MA 02451-1004 · (781) 790-8479 · Fax (781) 281-9181
Phone(781) 790-8479
Fax(781) 281-9181
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 15, 2014
Last NPPES UpdateAugust 13, 2025
NPPES CertifiedAugust 13, 2025
✔ NPI 1952712606 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
License✔ Licensed in MA · SLP9223
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.
220 BEAR HILL RD STE 102, Waltham, MA 02451
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Other Names 1

Former Name (1)Shannon Mccune

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Leary Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143720540
PECOS Enrollment IDI20250822004139, I20250918003912

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KILEY C BUNCE MS, CCC-SLP
Speech-Language Pathologist
220 BEAR HILL RD STE 102
WALTHAM, MA 02451
Middlesex County (424) 269-3400
KRYSTINA BURKE M.S., CF-SLP
Speech-Language Pathologist
220 BEAR HILL RD STE 102
WALTHAM, MA 02451
Middlesex County (781) 790-8479
DANA THOMSEN PT, DPT
Physical Therapist
220 BEAR HILL RD STE 102
WALTHAM, MA 02451
Middlesex County (781) 790-8479
COURTNEY SHEA OTR/L
Occupational Therapist
220 BEAR HILL RD STE 102
WALTHAM, MA 02451
Middlesex County (781) 790-8479
KATHERINE SAPHIRE
Occupational Therapist
220 BEAR HILL RD STE 102
WALTHAM, MA 02451
Middlesex County (781) 790-8479
KERRI L STUART PT
Physical Therapist
220 BEAR HILL RD STE 102
WALTHAM, MA 02451
Middlesex County (424) 269-3400
THERESE M NAGOVAN MOTR/L
Occupational Therapist
220 BEAR HILL RD STE 102
WALTHAM, MA 02451
Middlesex County (781) 790-8479
DR. LINDSEY H MOSS PT, DPT, C/NDT,
Physical Therapist
220 BEAR HILL RD STE 102
WALTHAM, MA 02451
Middlesex County (781) 790-8479

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 Shannon Leary's NPI number?

The NPI number for Shannon Leary is 1952712606. It was assigned to this individual provider in the NPPES registry on May 15, 2014. The provider is also known as Shannon Mccune.

Where is Shannon Leary located?

Shannon Leary practices at 220 Bear Hill Rd Ste 102, Waltham, MA 02451. The listed phone number is (781) 790-8479.

What is Shannon Leary's specialty?

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

Is Shannon Leary enrolled in Medicare?

Yes. Shannon Leary is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannon Leary was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.