Active NPI
Elizabeth Adele Ledbetter, MSSLP
- Speech-Language Pathologist
- Rogers, AR
National Provider Identifier
1497907653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP#P8156
- Practice address
- 2510 W Hudson Rd
Rogers, AR 72756-2072 - Phone
- (479) 936-1061
- Fax
- (855) 812-1132
- NPI assigned
- Oct 21, 2008
- 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 | SP#P8156 | AR | Primary |
Addresses
Primary practice location
2510 W Hudson Rd
Rogers, AR 72756-2072
Mailing address
2510 W Hudson Rd
Rogers, AR 72756-2072
Phone (479) 936-1061
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SP#P8156 | Other | AR | ARKANSAS BOARD OF EXAMINERS SPEEC-LANGUAGE PATHOLOGY AND AUDIO |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP#P8156 | AR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Therapy Services, Inc. | Current | Accepting new patients | |
| Regional Therapy Services, Inc. | Speech-Language Pathologist | Current | Accepting new patients |
Locations
2510 W Hudson Rd
Rogers, AR 72756
Phone (479) 936-1061
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 and National Provider Directory roles.
-
- Speech-Language Pathologist
- Rogers, AR
- NPI 1356313340
-
- Counselor
- Rogers, AR
- NPI 1437716701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639958400000",
"number": "1497907653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2510 W HUDSON RD",
"city": "ROGERS",
"state": "AR",
"postal_code": "727562072",
"telephone_number": "479-936-1061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 W HUDSON RD",
"city": "ROGERS",
"state": "AR",
"postal_code": "727562072",
"telephone_number": "479-936-1061",
"fax_number": "855-812-1132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEDBETTER",
"first_name": "ELIZABETH",
"middle_name": "ADELE",
"credential": "MSSLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-21",
"last_updated": "2021-12-20",
"certification_date": "2021-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "SP#P8156",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARKANSAS BOARD OF EXAMINERS SPEEC-LANGUAGE PATHOLOGY AND AUDIO",
"identifier": "SP#P8156",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.