NPIMap

Organization Active NPI

Arkansas Therapy Outreach, LLC

  • Speech-Language Pathologist
  • Benton, AR
National Provider Identifier
1003107434
Registry record updated Apr 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP#2655 Issued in AR
Legal business name
ARKANSAS THERAPY OUTREACH, LLC
Practice address
3851 Legacy Village Dr
Benton, AR 72015-9745
Phone
(501) 350-7572
Fax
(501) 776-4059
NPI assigned
Apr 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2011

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

Authorized official

Name
Mrs. Rebekah Marie James, M.S., CCC-SLPNPI 1528247889
Title
Speech Language Pathologist/Owner
Phone
(501) 350-7572

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 SP#2655 AR Primary

Addresses

Primary practice location

3851 Legacy Village Dr
Benton, AR 72015-9745

Mailing address

3851 Legacy Village Dr
Benton, AR 72015-9745
Phone (501) 350-7572

National Provider Directory

National Provider Directory
Tax ID family
Arkansas Therapy Outreach LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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": "1303171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303171200000",
    "number": "1003107434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 LEGACY VILLAGE DR",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720159745",
            "telephone_number": "501-350-7572",
            "fax_number": "501-776-4059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 LEGACY VILLAGE DR",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720159745",
            "telephone_number": "501-350-7572",
            "fax_number": "501-776-4059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS THERAPY OUTREACH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-19",
        "last_updated": "2011-04-19",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "REBEKAH",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "501-350-7572",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#2655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; 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.