Olivia Marie Wicks

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

028167 Issued in NY

Practice address

459 Philo Road
Elmira, NY 14903-1051

Phone

(607) 739-3581

Fax

(607) 795-3704

NPI assigned

Mar 9, 2018

Last updated

Nov 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1932602588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 STEUBEN STREET",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "148452335",
            "telephone_number": "607-742-3567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 PHILO ROAD",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149031051",
            "telephone_number": "607-739-3581",
            "fax_number": "607-795-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKS",
        "first_name": "OLIVIA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-09",
        "last_updated": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "028167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda M Whittemore, P.T.A.
• Chelsy Whittle
• Alec J Whyte, M.D.
• Robert Wicelinski Jr., D.O.
• Melissa P. Wichtowski, PT
• Benjamin Wilcox, BSN, RN, CNOR, RNFA
• Douglas Frank Willard, MD
• Melissa D Willenborg, MD
• William E. Clack M.D.
• Beth Ann Williams

• Speech-Language Pathologist in Elmira, NY
• Providers in Elmira, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.

Verify at the official NPI Registry.