Active NPI
Ruth Joan Fadely, MA, CCC-SLP
- Speech-Language Pathologist
- Rogers, AR
National Provider Identifier
1700808680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 6148
- Practice address
- Play Strong Pediatric Therapy
3625 W. Chestnut St.
Rogers, AR 72756 - Phone
- (479) 246-0101
- Fax
- (479) 246-0606
- NPI assigned
- Jul 23, 2006
- Last updated
- Jan 22, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | SA 6148 | FL | Primary |
Addresses
Primary practice location
Play Strong Pediatric Therapy
3625 W. Chestnut St.
Rogers, AR 72756
Mailing address
610 Steepro Dr
Centerton, AR 72719
Phone (918) 314-2610
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 230774721 | Medicaid | AR | |
| 887786600 | Medicaid | FL |
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA 6148 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548115200000",
"number": "1700808680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 STEEPRO DR",
"city": "CENTERTON",
"state": "AR",
"postal_code": "72719",
"telephone_number": "918-314-2610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PLAY STRONG PEDIATRIC THERAPY",
"address_2": "3625 W. CHESTNUT ST.",
"city": "ROGERS",
"state": "AR",
"postal_code": "72756",
"telephone_number": "479-246-0101",
"fax_number": "479-246-0606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FADELY",
"first_name": "RUTH",
"middle_name": "JOAN",
"name_prefix": "Ms.",
"credential": "MA, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-23",
"last_updated": "2019-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 6148",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "230774721",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "887786600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rogers, AR
- Stephen James Evans, DDS
- Everest Rehabilitation Hospital Bentonville, LLC (Everest Rehabilitation Hospital Bentonville)
- Exo Dental PLLC (Exo Dental)
- Eyemart Express LLC
- Johnnie Daniel Ezell
- Amy Faith, MS CCC-SLP
- Family Health & Wellness, PLLC
- Family Medical Walk-in Clinic PA (Rogers Family Medical Walk-in Clinic)
- Joel B. Fankhauser, MD
- Janie Lynn Farley, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.