Innovative Medical Speech Language Pathology and Rehab Services, Inc.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

INNOVATIVE MEDICAL SPEECH LANGUAGE PATHOLOGY AND REHAB SERVICES, INC.

Practice address

557 W School St Ste 2
Brookland, AR 72417-8942

Phone

(870) 497-0326

Fax

(870) 935-7809

NPI assigned

Apr 1, 2021

Last updated

Jun 17, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly Dawn Shelby, MCD,CCC-SLPNPI 1245442771

Title

Lead Therapist, Administrator

Phone

(501) 291-7222

Specialties & licenses 1

Addresses

Locations

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.

• Kimberly Dawn Shelby, MCD, CCC-SLP

  • Speech-Language Pathologist
  • Brookland, AR
  • NPI 1245442771
  NPD (past) Authorized official

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1962080630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 W SCHOOL ST STE 2",
            "city": "BROOKLAND",
            "state": "AR",
            "postal_code": "724178942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 W SCHOOL ST STE 2",
            "city": "BROOKLAND",
            "state": "AR",
            "postal_code": "724178942",
            "telephone_number": "870-497-0326",
            "fax_number": "870-935-7809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 N Oak St",
            "address_purpose": "LOCATION",
            "city": "Brookland",
            "state": "AR",
            "postal_code": "724178831",
            "country_code": "US",
            "telephone_number": "870-497-0326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INNOVATIVE MEDICAL SPEECH LANGUAGE PATHOLOGY AND REHAB SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-01",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "SHELBY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "LEAD THERAPIST, ADMINISTRATOR",
        "authorized_official_telephone_number": "501-291-7222",
        "authorized_official_credential": "MCD,CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Brookland, AR
• Providers in Brookland, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.