Active NPI
Grayson Verner Binotti, MS, CCC-SLP
- Speech-Language Pathologist
- Benton, AR
National Provider Identifier
1215190038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 5701 Springhill Road
Benton, AR 72015-0000 - Phone
- (501) 653-2255
- Fax
- (501) 653-2257
- NPI assigned
- Jul 2, 2008
- Last updated
- Jan 26, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | NU | Primary |
Addresses
Primary practice location
5701 Springhill Road
Benton, AR 72015-0000
Mailing address
PO Drawer 2109
Russellville, AR 72811
Phone (429) 967-2322
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 168955721 | Medicaid | AR |
Other names 1
- Grayson Verner Adams
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Friendship Community Care Inc. | Current | Accepting new patients | |
| Therateam Rehab Services | Speech-Language Pathologist | Past | Accepting new patients |
Locations
2278 Highway 65 N
Marshall, AR 72650
Phone (870) 448-2383
3605 W Southern Hills Blvd
Ste 300
Rogers, AR 72758
Phone (479) 278-7155
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Russellville, AR
- NPI 1528144318
-
- Speech-Language Pathologist
- Roland, AR
- NPI 1639136807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674691200000",
"number": "1215190038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO DRAWER 2109",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "72811",
"telephone_number": "429-967-2322",
"fax_number": "479-967-2876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5701 SPRINGHILL ROAD",
"city": "BENTON",
"state": "AR",
"postal_code": "720150000",
"telephone_number": "501-653-2255",
"fax_number": "501-653-2257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BINOTTI",
"first_name": "GRAYSON",
"middle_name": "VERNER",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-02",
"last_updated": "2023-01-26",
"certification_date": "2023-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "168955721",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GRAYSON",
"last_name": "ADAMS",
"middle_name": "VERNER",
"credential": "MS, CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Benton, AR
- BHC Pinnacle Pointe Hospital, Inc. (The Pointe Outpatient Behavioral Health Services)
- Bailee Paige Bibb
- Kristina Bienick, RECOVERY ASSISTANT
- Mackenzie Bilodeau
- Meagan Binns, CCC-SLP
- Birch Tree Communities, Inc (Hope House Branch)
- Birch Tree Communities, Inc
- Birch Tree Communities, Inc (Benton Town Branch)
- Birch Tree Communities, Inc. (Birch Tree Pharmacy)
- Birch Tree Communities, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.