NPIMap

Individual provider Active NPI

Stephen R Olbrish Jr., RRT

  • Critical Care Registered Respiratory Therapist
  • Rockwall, TX
National Provider Identifier
1114167996
Registry record updated Mar 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Registered Respiratory TherapistTaxonomy code 2279C0205X
License
55666 Issued in TX
Practice address
2558 Abbey CT
Rockwall, TX 75032-7368
Phone
(972) 722-8261
NPI assigned
Mar 6, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2009

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Educational Certified Respiratory Therapist 2278E1000X 55666 TX
Geriatric Care Certified Respiratory Therapist 2278G0305X 55666 TX
Pulmonary Diagnostics Certified Respiratory Therapist 2278P1004X 55666 TX
Critical Care Registered Respiratory Therapist 2279C0205X 55666 TX Primary
Emergency Care Registered Respiratory Therapist 2279E0002X 55666 TX
Pulmonary Rehabilitation Registered Respiratory Therapist 2279P1005X 55666 TX
Neonatal/Pediatric Registered Respiratory Therapist 2279P3900X 55666 TX
SNF/Subacute Care Registered Respiratory Therapist 2279S1500X 55666 TX

Addresses

Primary practice location

2558 Abbey CT
Rockwall, TX 75032-7368

Mailing address

2558 Abbey CT
Rockwall, TX 75032
Phone (972) 722-8261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
55666TXMDGeriatric Care Certified Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236297600000",
    "number": "1114167996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2558 ABBEY CT",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "75032",
            "telephone_number": "972-722-8261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2558 ABBEY CT",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750327368",
            "telephone_number": "972-722-8261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLBRISH",
        "first_name": "STEPHEN",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RRT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-06",
        "last_updated": "2009-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278E1000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Educational",
            "state": "TX",
            "license": "55666",
            "primary": false
        },
        {
            "code": "2278G0305X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Geriatric Care",
            "state": "TX",
            "license": "55666",
            "primary": false
        },
        {
            "code": "2278P1004X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Pulmonary Diagnostics",
            "state": "TX",
            "license": "55666",
            "primary": false
        },
        {
            "code": "2279C0205X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Critical Care",
            "state": "TX",
            "license": "55666",
            "primary": true
        },
        {
            "code": "2279E0002X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Emergency Care",
            "state": "TX",
            "license": "55666",
            "primary": false
        },
        {
            "code": "2279P1005X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Pulmonary Rehabilitation",
            "state": "TX",
            "license": "55666",
            "primary": false
        },
        {
            "code": "2279P3900X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Neonatal/Pediatrics",
            "state": "TX",
            "license": "55666",
            "primary": false
        },
        {
            "code": "2279S1500X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, SNF/Subacute Care",
            "state": "TX",
            "license": "55666",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.