NPIMap

Organization Active NPI

Healthcare Professionals Medical Group, P.a.

  • Speech-Language Pathologist
  • Boyds, MD
National Provider Identifier
1245062090
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
HEALTHCARE PROFESSIONALS MEDICAL GROUP, P.A.
Practice address
14405 Foolish Pleasure Rd
Boyds, MD 20841-6014
Phone
(252) 695-5297
NPI assigned
Aug 19, 2024
Last updated
Aug 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Authorized official

Name
Christopher Olmanson
Title
Authorized Official
Phone
(415) 236-2178

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU
Speech-Language Assistant 2355S0801X NU
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

14405 Foolish Pleasure Rd
Boyds, MD 20841-6014

Mailing address

489 Sanchez St
San Francisco, CA 94114-2056
Phone (847) 650-1778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, PA, NM, DC4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20250926000035 GA Part B Supplier - Clinic/Group Practice 7618472028 Receives reassigned benefits from 6 practitioners
Practice locations: Fayetteville, GA
O20251024002645 PA Part B Supplier - Clinic/Group Practice 7618472028 Receives reassigned benefits from 2 practitioners
Practice locations: Lansdale, PA
O20251104003883 NM Part B Supplier - Clinic/Group Practice 7618472028 Receives reassigned benefits from 3 practitioners
Practice locations: Albuquerque, NM
O20260115000879 DC Part B Supplier - Clinic/Group Practice 7618472028 Receives reassigned benefits from 5 practitioners
Practice locations: Germantown, MD

National Provider Directory

National Provider Directory
Tax ID family
Healthcare Professionals Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

407 Lincoln Rd
Miami Beach, FL 33139
Phone (305) 661-2944

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1245062090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 SANCHEZ ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941142056",
            "telephone_number": "847-650-1778",
            "fax_number": "415-358-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14405 FOOLISH PLEASURE RD",
            "city": "BOYDS",
            "state": "MD",
            "postal_code": "208416014",
            "telephone_number": "252-695-5297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE PROFESSIONALS MEDICAL GROUP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "OLMANSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "415-236-2178"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boyds, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.