NPIMap

Organization Active NPI

Atlantic Speech Therapy LLC

  • Speech-Language Pathologist
  • Virginia Beach, VA
National Provider Identifier
1295875797
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202003836 Issued in VA
Legal business name
ATLANTIC SPEECH THERAPY LLC
Practice address
923 First Colonial Rd
Suite 1811
Virginia Beach, VA 23454-3182
Phone
(757) 422-6342
Fax
(757) 422-6343
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Rhonda R Osisek, M.S., CCC-SLP
Title
Owner Speech Language Pathologist
Phone
(757) 422-6342

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 2202003836 VA Primary

Addresses

Primary practice location

923 First Colonial Rd
Suite 1811
Virginia Beach, VA 23454-3182

Mailing address

923 First Colonial Rd
Suite 1811
Virginia Beach, VA 23454-3182
Phone (757) 422-6342

Other identifiers 2

IdentifierTypeStateIssuer
195598OtherVAANTHEM BLUE CROSS BLUE SH
32105OtherVAOPTIMA SENTARA

Other names 1

  • Rhonda R Osisek Doing business as

National Provider Directory

National Provider Directory

Locations

923 First Colonial Rd
Ste 1811
Virginia Beach, VA 23454
Phone (757) 422-6342

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295875797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 FIRST COLONIAL RD",
            "address_2": "SUITE 1811",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543182",
            "telephone_number": "757-422-6342",
            "fax_number": "757-422-6343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 FIRST COLONIAL RD",
            "address_2": "SUITE 1811",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543182",
            "telephone_number": "757-422-6342",
            "fax_number": "757-422-6343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OSISEK",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "757-422-6342",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202003836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "195598",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA SENTARA",
            "identifier": "32105",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rhonda R Osisek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.