INNOVATIVE MEDICAL SPEECH LANGUAGE PATHOLOGY AND REHAB SERVICES, INC. — NPI 1962080630 (Licensed & Credentialed Speech, Language and Hearing Service Providers in BROOKLAND, AR)

CMS-1500 Box 24J / 33a • NPI

1962080630

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

235Z00000X (CMS 15)

Licensed & Credentialed Speech, Language and Hearing Service Providers

Box 32 Service Location & ZIP+4

557 W SCHOOL ST STE 2, BROOKLAND, AR, 72417-8942

✓ 9-Digit EDI 837 ZIP+4 (72417-8942)

Practice Phone & Referral Fax

(870) 497-0326

Fax: (870) 935-7809

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1962080630 (INNOVATIVE MEDICAL SPEECH LANGUAGE PATHOLOGY AND REHAB SERVICES, INC.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1962080630` (NPI-2 Organization / Facility)
Provider / Legal Name	INNOVATIVE MEDICAL SPEECH LANGUAGE PATHOLOGY AND REHAB SERVICES, INC.
Plain-English Specialty	Licensed & Credentialed Speech, Language and Hearing Service Providers NUCC Code: `235Z00000X` (Speech-Language Pathologist, )
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	557 W SCHOOL ST STE 2, BROOKLAND, AR, 72417-8942
Practice Telephone / Fax	Tel: (870) 497-0326 \| Fax: (870) 935-7809
Administrative Mailing Address	557 W SCHOOL ST STE 2, BROOKLAND, AR, 72417-8942
Enumeration & Last Sync	Enumerated: 2021-04-01 \| CMS Record Updated: 2026-06-17
Authorized Official	KIMBERLY SHELBY (Lead Therapist, Administrator)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

557 W SCHOOL ST STE 2, BROOKLAND, AR, 72417-8942

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Plain-English Taxonomy & CMS Crosswalk (235Z00000X)

What Does Taxonomy Code 235Z00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 235Z00000X translates to:
"Licensed & Credentialed Speech, Language and Hearing Service Providers"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 15 (Speech Language Pathologist)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Speech-Language Pathologist, for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (INNOVATIVE MEDICAL SPEECH LANGUAGE PATHOLOGY AND REHAB SERVICES, INC.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`235Z00000X` — Speech-Language Pathologist, Plain English: Licensed & Credentialed Speech, Language and Hearing Service Providers	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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INNOVATIVE MEDICAL SPEECH LANGUAGE PATHOLOGY AND REHAB SERVICES, INC. (NPI #1962080630)