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ELIZABETH ANNE BEVERSDORF MA CCC-SLP
NPI 1043067648
Speech-Language Pathologist in South Lebanon, OH

Active since May 01, 2024
719 CORWIN NIXON BLVD, SOUTH LEBANON, OH 45065(513) 770-0048 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Elizabeth Anne Beversdorf Ma Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH ANNE BEVERSDORF MA CCC-SLP (NPI 1043067648) is an individual speech-language pathologist provider in South Lebanon, Ohio, licensed in Ohio (9674) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1043067648
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameELIZABETH ANNE BEVERSDORFCredential: MA CCC-SLP
Location Address719 CORWIN NIXON BLVDSouth Lebanon, OH 45065-1394
Mailing Address612 Oak AveWyoming, OH 45215-2716 · (859) 250-1700
Phone(513) 770-0048
Sole ProprietorYes
Enumeration DateMay 1, 2024
NPPES CertifiedMay 1, 2024
✔ NPI 1043067648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in OH · 9674
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
719 CORWIN NIXON BLVD, South Lebanon, OH 45065
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Anne Beversdorf Ma Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Elizabeth Beversdorf reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cortlyn Therapy, PC
14 mi
Physical Therapist
7300 DEARWESTER DR
Cincinnati, OH 45236
  • Reassigned Medicare billing, Ohio enrollment
  • 27 clinicians in this Medicare group
NPI 1235725730 (630) 413-5800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Beversdorf's NPI number?

The NPI number for Elizabeth Beversdorf is 1043067648. It was assigned to this individual provider in the NPPES registry on May 1, 2024.

Where is Elizabeth Beversdorf located?

Elizabeth Beversdorf practices at 719 Corwin Nixon Blvd, South Lebanon, OH 45065. The listed phone number is (513) 770-0048.

What is Elizabeth Beversdorf's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Elizabeth Beversdorf enrolled in Medicare?

Yes. Elizabeth Beversdorf is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elizabeth Beversdorf's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Beversdorf reassigns Medicare benefits to Cortlyn Therapy, PC (Cincinnati, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elizabeth Beversdorf's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elizabeth Beversdorf was last updated on May 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.