Active NPI
Adriaana Olson, OTR/L
- Occupational Therapist
- Atascadero, CA
National Provider Identifier
1407402860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 18598
- Practice address
- 6965 San Luis Ave
Atascadero, CA 93422-5201 - Phone
- (805) 591-7188
- NPI assigned
- Aug 12, 2019
- Last updated
- Aug 12, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 18598 | CA | Primary |
Addresses
Primary practice location
6965 San Luis Ave
Atascadero, CA 93422-5201
Mailing address
6965 San Luis Ave
Atascadero, CA 93422-5201
Other names 1
- Adriaana Degroot
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18598 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beyond Speech Therapy Inc | Current | Accepting new patients |
Locations
6965 San Luis Ave
Atascadero, CA 93422
Phone (805) 591-7188
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Atascadero, CA
- NPI 1306234778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565568000000",
"number": "1407402860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6965 SAN LUIS AVE",
"city": "ATASCADERO",
"state": "CA",
"postal_code": "934225201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6965 SAN LUIS AVE",
"city": "ATASCADERO",
"state": "CA",
"postal_code": "934225201",
"telephone_number": "805-591-7188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "ADRIAANA",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-12",
"last_updated": "2019-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "18598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ADRIAANA",
"last_name": "DEGROOT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Atascadero, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.