MS. ELLEN-BETH FULLWOOD MS CCC-SLP
NPI 1386894574
Speech-Language Pathologist in Fort Myers, FL

Q: What is Ellen-beth Fullwood's NPI number?

The NPI number for Ellen-beth Fullwood is 1386894574. It was assigned to this individual provider in the NPPES registry on September 24, 2008.

Q: What is Ellen-beth Fullwood's specialty?

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

Active since September 24, 2008

15114 CLOVERDALE DR, FORT MYERS, FL 33919(239) 410-2629(309) 410-2629 Get Directions Write a Review

NPPES record last updated: September 24, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Ms. Ellen-beth Fullwood Ms Ccc-slp NPPES

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

MS. ELLEN-BETH FULLWOOD MS CCC-SLP (NPI 1386894574) is an individual speech-language pathologist provider in Fort Myers, Florida, licensed in Florida (SA9064) and active in the NPI registry since September 2008.

NPPES Registry Identity

NPI1386894574

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMS. ELLEN-BETH FULLWOODCredential: MS CCC-SLP

Location Address15114 CLOVERDALE DRFort Myers, FL 33919-8308

Mailing Address15114 Cloverdale DrFort Myers, FL 33919-8308 · (239) 410-2629 · Fax (309) 410-2629

Phone(239) 410-2629

Fax(309) 410-2629

Sole ProprietorYes

Enumeration DateSeptember 24, 2008

✔ NPI 1386894574 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 FL · SA9064

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.

15114 CLOVERDALE DR, Fort Myers, FL 33919

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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)

Ms. Ellen-beth Fullwood Ms Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Ellen-beth Fullwood reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Optimized Therapy Transitions, LLC

98 mi

Occupational Therapist

3311 BAYSHORE BLVD NE
St Petersburg, FL 33703

Reassigned Medicare billing, Florida enrollment
53 clinicians in this Medicare group

NPI 1891346680 (239) 560-9663

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Treatment of speech, language, voice, communication, and/or hearing processing disorder 92507

This treatment involves working with a specialist to improve communication skills. It could involve exercises to enhance speech clarity, language understanding, voice volume, or hearing comprehension. The goal is to enhance your ability to express and understand others effectively.

687 services46 patients

Treatment of swallowing and feeding disorder 92526

Treatment for swallowing and feeding disorders involves a team of specialists who will work together to improve your ability to eat and drink safely. This may include exercises to strengthen swallowing muscles, dietary changes, or special techniques to make swallowing easier.

501 services34 patients

Evaluation of speech sound production with evaluation of language comprehension and expression 92523

This service involves assessing your ability to produce speech sounds and understand language. It also evaluates your ability to express yourself through language. It's a comprehensive review of your communication skills to identify any potential issues.

41 services36 patients

Evaluation of swallowing function 92610

Evaluation of swallowing function is a medical procedure that assesses your ability to swallow food and drink safely. This involves studying the muscles and nerves involved in swallowing. It helps identify any issues that might lead to difficulties in eating or drinking.

36 services29 patients

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 Ellen-beth Fullwood's NPI number?

The NPI number for Ellen-beth Fullwood is 1386894574. It was assigned to this individual provider in the NPPES registry on September 24, 2008.

Where is Ellen-beth Fullwood located?

Ellen-beth Fullwood practices at 15114 Cloverdale Dr, Fort Myers, FL 33919. The listed phone number is (239) 410-2629.

What is Ellen-beth Fullwood's specialty?

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

Is Ellen-beth Fullwood enrolled in Medicare?

Yes. Ellen-beth Fullwood is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ellen-beth Fullwood's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ellen-beth Fullwood reassigns Medicare benefits to Optimized Therapy Transitions, LLC (St Petersburg, FL). 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 Ellen-beth Fullwood'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 Ellen-beth Fullwood was last updated on September 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.