Olesya Vassilyeva

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

10760 Issued in FL

Practice address

208 Booth Rd
Ormond Beach, FL 32174-5717

Phone

(386) 446-9935

Fax

(386) 446-7777

NPI assigned

Jan 20, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• University Rehabilitation, LLC

  • Physical Therapist
  • Port Orange, FL
  • NPI 1811185291
  NPD
• Speech Works Pediatric Therapy, LLC

  • Clinic/Center
  • Palm Coast, FL
  • NPI 1245488121

  Speech-Language Assistant

  NPD (past)

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

{
    "created_epoch": "1484870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1710424379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 OFFICE PARK DR STE 2",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373831",
            "telephone_number": "386-446-9935",
            "fax_number": "386-446-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 BOOTH RD",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745717",
            "telephone_number": "386-446-9935",
            "fax_number": "386-446-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASSILYEVA",
        "first_name": "OLESYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SI2784",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "10760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Elizabeth Van Rij, L.AC., RPT
• Emily Christine Vanderburg
• Patricia Gail Vandiepen, DO
• Steven C Vangelder, LMHC
• Vanguard Med PLLC
• Jana Lynn Vazquez, COTA
• Meagan Vecino, DC
• Janell L Verkaden, ARNP
• Vesc LLC
• Dakota Ladawn Victor

• Speech-Language Pathologist in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.