Olivia Theresa O'Rourke, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

0153211 Issued in NY

Practice address

80 Woodrow Rd
Staten Island, NY 10312-1313

Phone

(718) 356-0008

NPI assigned

Apr 15, 2011

Sex

Female

Sole proprietor

No

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 Science

State licenses

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

{
    "created_epoch": "1302825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302825600000",
    "number": "1609166263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 IONIA AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103092411",
            "telephone_number": "718-356-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 WOODROW RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103121313",
            "telephone_number": "718-356-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'ROURKE",
        "first_name": "OLIVIA",
        "middle_name": "THERESA",
        "name_prefix": "Mrs.",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-15",
        "last_updated": "2011-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "0153211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn O'Neill
• Susan A O'Neill, APRN, BC
• Cora-Ann O'Regan, NP
• Christy O'Rourke-Decrescenzo
• Nicole O'Rourke, CCC-SLP
• Lauren O'Shaughnessy, NP
• Katherine O'Sullivan, RN
• Alanna Therese O'Toole, BCBA
• Jamie Anne O'Toole, PA-C
• Patrick O'Toole Jr., PHARM. D.

• Speech-Language Pathologist in Staten Island, NY
• Providers in Staten Island, 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 Apr 15, 2011; 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.