Active NPI
Payten Ann Crace
- Speech-Language Pathologist
- Bentonville, AR
National Provider Identifier
1720680556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 202895
- Practice address
- 2703 SE Otis Corley Dr Ste 11
Bentonville, AR 72712-3414 - Phone
- (479) 339-9678
- Fax
- (317) 520-8200
- NPI assigned
- Nov 16, 2020
- Last updated
- Jul 23, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 202895 | AR | Primary |
| Behavior Technician | 106S00000X | AR |
Addresses
Primary practice location
2703 SE Otis Corley Dr Ste 11
Bentonville, AR 72712-3414
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885
Other practice location 1
1301 Museum Rd
Conway, AR 72032-4739
Phone (501) 358-6535
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106S00000X | Medicaid | AR |
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 |
|---|---|---|---|
| 202895 | AR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reach Therapy Services LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
1301 Museum Rd
Conway, AR 72032
Phone (501) 358-6535
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753228800000",
"number": "1720680556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 DEPAUW BLVD STE 3070",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462686135",
"telephone_number": "855-324-0885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2703 SE OTIS CORLEY DR STE 11",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727123414",
"telephone_number": "479-339-9678",
"fax_number": "317-520-8200"
}
],
"practiceLocations": [
{
"address_1": "1301 Museum Rd",
"address_purpose": "LOCATION",
"city": "Conway",
"state": "AR",
"postal_code": "720324739",
"country_code": "US",
"telephone_number": "501-358-6535",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRACE",
"first_name": "PAYTEN",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-16",
"last_updated": "2025-07-23",
"certification_date": "2025-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "202895",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "AR",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106S00000X",
"state": "AR"
}
],
"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 Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.