Olympic Speech Therapy LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

OLYMPIC SPEECH THERAPY LLC

Doing business as

Olympic Speech Therapy

Practice address

24001 56TH Ave W Ste D404
Mountlake Terrace, WA 98043-5558

Phone

(956) 454-4226

NPI assigned

Aug 22, 2022

Organization subpart

No

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

Authorized official

Name

Theresa Shuck, MS CCC-SLPNPI 1639581853

Title

Speech Langauge Pathologist

Phone

(956) 454-4226

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Olympic Speech Therapy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theresa Shuck, MS CCC-SLP

  • Speech-Language Pathologist
  • Seattle, WA
  • NPI 1639581853
  NPD Authorized official

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1780303099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8033 9TH AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981174120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24001 56TH AVE W STE D404",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980435558",
            "telephone_number": "956-454-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIC SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "SHUCK",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "SPEECH LANGAUGE PATHOLOGIST",
        "authorized_official_telephone_number": "956-454-4226",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639581853",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olympic Speech Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Olympic Speech Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie Oldfield
• Nancy Oliver, LMP
• Jessa Olson
• Maureen E Olson, LMHC
• Olympic Pain Solutions
• Olympic Spine and Sports Therapy PC
• Olympic Sports Rehab
• Ibukun Omole, ND, LAC
• Emily R Ondatje
• Orthocare Innovations Clinical Services LLC

• Speech-Language Pathologist in Mountlake Terrace, WA
• Providers in Mountlake Terrace, 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 Sep 7, 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.