ELITE DYSPHAGIA DIAGNOSTICS & SPEECH SERVICES, LLC
NPI 1184280729
Speech-Language Pathologist in Cape Girardeau, MO

Active since May 17, 2019
2137 WILLIAM ST, CAPE GIRARDEAU, MO 63703(573) 803-3338(844) 579-0089 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 15, 2025, Jul 28, 2023, Dec 4, 2020 and 3 more (6 updates tracked since 2019).

About Elite Dysphagia Diagnostics & Speech Services, Llc NPPES

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

ELITE DYSPHAGIA DIAGNOSTICS & SPEECH SERVICES, LLC (NPI 1184280729), doing business as Elite Mobile Therapy & Wellness, is a healthcare organization registered as a speech-language pathologist in Cape Girardeau, Missouri and active in the NPI registry since May 2019. The organization maintains a secondary practice location in Cape Girardeau and lists Laura Mae Randen, Owner, as its authorized official.

NPPES Registry Identity

NPI1184280729
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameELITE DYSPHAGIA DIAGNOSTICS & SPEECH SERVICES, LLC
Location Address2137 WILLIAM STCape Girardeau, MO 63703-5817
Mailing Address312 Stepping Stone WayCape Girardeau, MO 63701-8388 · (573) 225-3639
Fax(844) 579-0089
Organization SubpartNo
Authorized OfficialLaura Mae RandenOwner · (573) 225-3639
Enumeration DateMay 17, 2019
Last NPPES UpdateMay 15, 20256 updates tracked since enumeration
NPPES CertifiedMay 15, 2025
✔ NPI 1184280729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
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.
Also ListedOccupational TherapistTaxonomy 225X00000X
2137 WILLIAM ST, Cape Girardeau, MO 63703

Other Names 2

Doing Business AsElite Mobile Therapy & Wellness
Doing Business AsElite Therapy & Wellness

Secondary Practice Location 1

Location 11200 N Kingshighway St Unit 202Cape Girardeau, MO 63701-3507 · Phone (573) 803-3338 · Fax (844) 579-0089

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elite Dysphagia Diagnostics & Speech Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Elite Dysphagia Diagnostics & Speech Services, LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Qualified Speech Language Pathologist
NPI 1700602067
2137 WILLIAM ST
Cape Girardeau, MO 63703
(573) 803-3338
✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1548928872
2137 WILLIAM STREET
Cape Girardeau, MO 63703
(573) 803-3338
✔ Accepts MedicareSame address
Qualified Speech Language Pathologist
NPI 1225718174
2137 WILLIAM ST
Cape Girardeau, MO 63703
(573) 803-3338
✔ Accepts MedicareSame address
Qualified Speech Language Pathologist
NPI 1053142521
2137 WILLIAM ST
Cape Girardeau, MO 63703
(573) 803-3338
✔ Accepts MedicareSame address
Qualified Speech Language Pathologist
NPI 1730541996
312 STEPPING STONE WAY
Cape Girardeau, MO 63701
(573) 225-3639
✔ Accepts Medicare5.6 mi
Occupational Therapist in Private Practice
NPI 1629174735
300 FLOYD DR
Sikeston, MO 63801
(573) 472-0397
30 mi
Occupational Therapist in Private Practice
NPI 1457291262
300 FLOYD DR
Sikeston, MO 63801
(573) 472-0397
30 mi
Qualified Speech Language Pathologist
NPI 1952134611
10332 OLD OLIVE STREET RD
Saint Louis, MO 63141
(314) 567-4707
✔ Accepts Medicare106 mi

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 Elite Dysphagia Diagnostics & Speech Services, LLC's NPI number?

The NPI number for Elite Dysphagia Diagnostics & Speech Services, LLC is 1184280729. It was assigned to this organization in the NPPES registry on May 17, 2019. The provider is doing business as Elite Mobile Therapy & Wellness and Elite Therapy & Wellness.

Where is Elite Dysphagia Diagnostics & Speech Services, LLC located?

Elite Dysphagia Diagnostics & Speech Services, LLC is located at 2137 William St, Cape Girardeau, MO 63703. The listed phone number is (573) 803-3338.

What is Elite Dysphagia Diagnostics & Speech Services, LLC's specialty?

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

Is Elite Dysphagia Diagnostics & Speech Services, LLC enrolled in Medicare?

Yes. Elite Dysphagia Diagnostics & Speech Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elite Dysphagia Diagnostics & Speech Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Elite Dysphagia Diagnostics & Speech Services, LLC. A 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 the clinician's services. The largest specialties are Qualified Speech Language Pathologist (5) and Occupational Therapist in Private Practice (3). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Elite Dysphagia Diagnostics & Speech Services, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Elite Dysphagia Diagnostics & Speech Services, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elite Dysphagia Diagnostics & Speech Services, LLC was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.