Active NPI
Charity Olson
- Speech-Language Pathologist
- San Tan Valley, AZ
National Provider Identifier
1861934366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP10324
- Practice address
- 31645 N Royal Oak Way
San Tan Valley, AZ 85143-6341 - Phone
- (480) 677-3349
- Fax
- (480) 264-3800
- NPI assigned
- Nov 15, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP10324 | AZ | Primary |
Addresses
Primary practice location
31645 N Royal Oak Way
San Tan Valley, AZ 85143-6341
Mailing address
70 S Val Vista Dr # A3-311
Gilbert, AZ 85296-1374
Phone (480) 818-4212
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHSM Rehabilitation, LLC | Past | Accepting new patients | |
| Essential Therapy Solutions, LLC | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Payson, AZ
- NPI 1497222632
-
- Speech-Language Pathologist
- San Tan Valley, AZ
- NPI 1760604557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724284800000",
"number": "1861934366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 S VAL VISTA DR # A3-311",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852961374",
"telephone_number": "480-818-4212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31645 N ROYAL OAK WAY",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "851436341",
"telephone_number": "480-677-3349",
"fax_number": "480-264-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "CHARITY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-15",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP10324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Tan Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.