NPIMap

Organization Active NPI

Advanced Therapy Solutions, LLC

  • Speech-Language Pathologist
  • Stillwater, OK
National Provider Identifier
1720537939
Registry record updated Jul 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4515 Issued in OK
Legal business name
ADVANCED THERAPY SOLUTIONS, LLC
Practice address
120 N Perkins Rd Ste F
Stillwater, OK 74075
Phone
(405) 564-2701
Fax
(888) 581-6850
NPI assigned
Sep 28, 2016
Last updated
Jul 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2018

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

Authorized official

Name
Abby Richelle O'DellNPI 1588017701
Title
Speech-Language Pathologist
Phone
(405) 564-2701

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4515 OK Primary

Addresses

Primary practice location

120 N Perkins Rd Ste F
Stillwater, OK 74075

Mailing address

PO Box 1956
Stillwater, OK 74076-1956

Other practice location 1

901 S Main St Ste 4
Stillwater, OK 74074-4635
Phone (405) 564-2701

Other identifiers 1

IdentifierTypeStateIssuer
200665770AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170209000186 OK Part B Supplier - Clinic/Group Practice 6002199494 Receives reassigned benefits from 9 practitioners
Practice locations: Stillwater, OK

National Provider Directory

National Provider Directory

Locations

120 N Perkins Rd
Ste F
Stillwater, OK 74075
Phone (405) 564-2701

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532131200000",
    "number": "1720537939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1956",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740761956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N PERKINS RD STE F",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "74075",
            "telephone_number": "405-564-2701",
            "fax_number": "888-581-6850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 S Main St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Stillwater",
            "state": "OK",
            "postal_code": "740744635",
            "country_code": "US",
            "telephone_number": "405-564-2701",
            "fax_number": "888-581-6850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED THERAPY SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-28",
        "last_updated": "2018-07-21",
        "status": "A",
        "authorized_official_last_name": "O'DELL",
        "authorized_official_first_name": "ABBY",
        "authorized_official_middle_name": "RICHELLE",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "405-564-2701"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "4515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200665770A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.