Individual provider Active NPI

Alexandra Olson

  • Speech-Language Pathologist
  • Northfield, OH
National Provider Identifier
1699657007
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
COND.20253088-SP Issued in OH
Practice address
7689 Sagamore Hills Blvd
Northfield, OH 44067-2960
Phone
(330) 405-8776
NPI assigned
Jul 24, 2025
Last updated
Jul 24, 2025By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X COND.20253088-SP OH Primary

Addresses

Primary practice location

7689 Sagamore Hills Blvd
Northfield, OH 44067-2960

Mailing address

2576 Fenwick Rd
University Heights, OH 44118-4427

Other practice location 1

1309 Norton Ave Ste 120
Norton, OH 44203-9518
Phone (330) 405-8776

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

LicenseStateTypeSpecialty
COND.20253088-SPOHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Potential Therapy LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1753315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1699657007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2576 FENWICK RD",
            "city": "UNIVERSITY HEIGHTS",
            "state": "OH",
            "postal_code": "441184427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7689 SAGAMORE HILLS BLVD",
            "city": "NORTHFIELD",
            "state": "OH",
            "postal_code": "440672960",
            "telephone_number": "330-405-8776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1309 Norton Ave Ste 120",
            "address_purpose": "LOCATION",
            "city": "Norton",
            "state": "OH",
            "postal_code": "442039518",
            "country_code": "US",
            "telephone_number": "330-405-8776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSON",
        "first_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-07-24",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "COND.20253088-SP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; 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.