Active NPI
Olosoma Therapy Services, Inc
- Home Health Agency
- Surprise, AZ
National Provider Identifier
1932394723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- OLOSOMA THERAPY SERVICES, INC
- Practice address
- 15623 N 174TH Ave
Surprise, AZ 85388-0263 - Phone
- (623) 363-9545
- Fax
- (602) 926-1402
- NPI assigned
- Sep 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rachelle Lynn Baker, D.P.T.
- Title
- President
- Phone
- (623) 363-9545
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
15623 N 174TH Ave
Surprise, AZ 85388-0263
Mailing address
15623 N 174TH Ave
Surprise, AZ 85388-0263
Phone (623) 363-9545
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189641600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217203200000",
"number": "1932394723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15623 N 174TH AVE",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853880263",
"telephone_number": "623-363-9545",
"fax_number": "602-926-1402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15623 N 174TH AVE",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853880263",
"telephone_number": "623-363-9545",
"fax_number": "602-926-1402"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLOSOMA THERAPY SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-13",
"last_updated": "2008-07-28",
"status": "A",
"authorized_official_last_name": "BAKER",
"authorized_official_first_name": "RACHELLE",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "623-363-9545",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.T."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.