Lesli Bacon McCully

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3760 Issued in TN

Practice address

610 S Avalon St
West Memphis, AR 72301-4109

Phone

(870) 400-3481

NPI assigned

Jun 13, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pinnacle Physical Therapy

  • Physical Therapy Clinic/Center
  • Memphis, TN
  • NPI 1386430866

  TN

  Medicare reassignment NPD
• Select Physical Therapy Holdings Inc

  • Rehabilitation Clinic/Center
  • Smyrna, TN
  • NPI 1619939766

  TN

  Medicare reassignment NPD
• Select Physical Therapy Holdings Inc

  • Physical Therapy Clinic/Center
  • Ashland, VA
  • NPI 1174591218
  NPD
• Select Physical Therapy Holdings, Inc.

  • Rehabilitation Clinic/Center
  • Franklin, TN
  • NPI 1306503669

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1982808945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1696 CARRUTHERS PL",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381125208",
            "telephone_number": "901-604-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 S AVALON ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723014109",
            "telephone_number": "870-400-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLY",
        "first_name": "LESLI",
        "middle_name": "BACON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "3760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydnie McClinton, PA
• Janet McClora
• Barbara McCoy-Johnson
• Latrice McCoy
• Malisha McCray, BCBA
• Claudia McCutchen, PTA
• Luke McDaniel
• Donald Lee McDonald, MD
• Susan B McDowell, PTA
• Shannon McElroy, PHARMACIST

• All providers in West Memphis, AR
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.