Organization Active NPI

Ok Speech Therapy Services, LLC

  • Speech-Language Pathologist
  • Ardmore, OK
National Provider Identifier
1659084010
Registry record updated Jan 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
OK SPEECH THERAPY SERVICES, LLC
Practice address
6175 Dickson Rd
Ardmore, OK 73401-6774
Phone
(580) 222-9039
NPI assigned
Jan 2, 2023
Last updated
Jan 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2023

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

Authorized official

Name
Ashton BettertonNPI 1730700592
Title
Speech-Language Pathologist
Phone
(580) 222-9039

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 Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

6175 Dickson Rd
Ardmore, OK 73401-6774

Mailing address

6175 Dickson Rd
Ardmore, OK 73401-6774

Other identifiers 1

IdentifierTypeStateIssuer
1730700592MedicaidOK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@okspeechtherapyservices.info Direct

National Provider Directory

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672617600000",
    "number": "1659084010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6175 DICKSON RD",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734016774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6175 DICKSON RD",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734016774",
            "telephone_number": "580-222-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OK SPEECH THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-02",
        "last_updated": "2023-01-02",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "BETTERTON",
        "authorized_official_first_name": "ASHTON",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "580-222-9039"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730700592",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@okspeechtherapyservices.info",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "6175 Dickson Rd",
            "city": "Ardmore",
            "state": "OK",
            "country_code": "US",
            "postal_code": "734016774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.

Verify at the official NPI Registry.