Patrick John O'Leary

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL60962862 Issued in WA

Practice address

2929 5TH Ave NE
Puyallup, WA 98372-6782

Phone

(253) 447-8216

NPI assigned

May 26, 2015

Last updated

Jul 26, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1750760617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 CAMPBELL ST",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401758",
            "telephone_number": "516-317-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 5TH AVE NE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983726782",
            "telephone_number": "253-447-8216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'LEARY",
        "first_name": "PATRICK",
        "middle_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-26",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "109592",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL60962862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin K O'Brien, LMP
• Larry Kenneth O'Bryant, MD
• Tanya L O'Callaghan, OT
• William H O'Grady, DPT
• Haley Christine O'Hora, PA-C
• Samuel O'Leary
• Theresa Deann O'Leary, LPN
• Brittany O'Malley, MS, LAT, ATC
• Karina O'Neill, PA-C
• Laura B O'Rourke, MS, BCBA

• Speech-Language Pathologist in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; 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.