NPIMap

Organization Active NPI

Flight Speech Therapy, LLC

  • Speech-Language Pathologist
  • Bentonville, AR
National Provider Identifier
1629693486
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
FLIGHT SPEECH THERAPY, LLC
Practice address
202 N Walton Blvd Ste 34
Bentonville, AR 72712-5175
Phone
(479) 431-6141
Fax
(479) 262-0414
NPI assigned
Jun 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Authorized official

Name
Steven Hall
Title
Director of Clinic Operations
Phone
(479) 431-6141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

202 N Walton Blvd Ste 34
Bentonville, AR 72712-5175

Mailing address

202 N Walton Blvd Ste 34
Bentonville, AR 72712-5175
Phone (479) 431-6141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220628000490 AR Part B Supplier - Clinic/Group Practice 8820477433 Receives reassigned benefits from 4 practitioners
Practice locations: Bentonville, AR

National Provider Directory

National Provider Directory

Locations

701 N Walton Blvd
Ste 4
Bentonville, AR 72712

Practitioners & affiliated clinicians

Practitioners 9

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": "1591574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1629693486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 N WALTON BLVD STE 34",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727125175",
            "telephone_number": "479-431-6141",
            "fax_number": "479-282-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N WALTON BLVD STE 34",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727125175",
            "telephone_number": "479-431-6141",
            "fax_number": "479-262-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLIGHT SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-08",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "DIRECTOR OF CLINIC OPERATIONS",
        "authorized_official_telephone_number": "479-431-6141"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.