Olivia Marie Antonecchia, M.A., CCC-SLP TSSLD

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

033881-01 Issued in NY

Practice address

468 E 140TH St
Bronx, NY 10454-2752

Phone

(914) 882-8737

NPI assigned

Dec 11, 2023

Last updated

Dec 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1487421343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 BUCKINGHAM RD",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107016715",
            "telephone_number": "914-882-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 E 140TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104542752",
            "telephone_number": "914-882-8737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONECCHIA",
        "first_name": "OLIVIA",
        "middle_name": "MARIE",
        "credential": "M.A., CCC-SLP TSSLD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "033881-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anyelin Antigua Perdomo, LMSW
• Anto Vincetic DPM PC
• Anandu Mathews Anto, MD
• Priscilla Antoh
• Chrisovalantis Antonakis, PHARM D.
• Lynn M Antonelli, PHYSICAL THERAPIST
• Matthew John Antonellis, MD
• Elizabeth Antonio, CLINICAL SOCIAL
• Caroline Antony
• Michael A Antony, MD

• Speech-Language Pathologist in Bronx, NY
• Providers in Bronx, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.