Empowered Therapy Collective LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

EMPOWERED THERAPY COLLECTIVE LLC

Practice address

1845 Main Dr
Fayetteville, AR 72704-5220

Phone

(479) 315-0715

Fax

(479) 308-0285

NPI assigned

Sep 11, 2021

Last updated

Oct 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Taryn Taylor, M.S. CCC-SLPNPI 1821661604

Title

Speech Language Pathologist, Owner

Phone

(479) 315-0715

Specialties & licenses 2

Addresses

Other names 1

• Vibrant Therapy Services, LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Taryn Raeann Taylor, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Fayetteville, AR
  • NPI 1821661604
  Medicare reassignment NPD Authorized official
• Monica Sexton, OTRL

  • Occupational Therapist
  • Fayetteville, AR
  • NPI 1750050845
  Medicare reassignment NPD

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

{
    "created_epoch": "1631318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1427727569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 S JASMINE LN",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727047708",
            "telephone_number": "479-315-0715",
            "fax_number": "479-308-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 MAIN DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727045220",
            "telephone_number": "479-315-0715",
            "fax_number": "479-308-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERED THERAPY COLLECTIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-11",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "TARYN",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST, OWNER",
        "authorized_official_telephone_number": "479-315-0715",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vibrant Therapy Services, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Rachel Elvins
• Chinemerem Martlin Emeasoba, MBBS
• Emergency Medicine of Northwest Arkansas, LLC
• Sarah Emison, PHARMD
• Emotion Centered Psychological Services, PLLC
• Haley R Endacott, APRN
• Karla Renee Enderle, RRT
• Kent Douglas Enderle, PA-C
• Mia Claire Engelbrecht, IBCLC
• Deborah England, DC

• Speech-Language Pathologist in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.