Olivia Decker

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

TSLP15608 Issued in AZ

Practice address

10049 E Dynamite Blvd Ste 110
Scottsdale, AZ 85262-3694

Phone

(480) 419-0848

NPI assigned

Sep 2, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Dynamite Therapy, LLC

  • Home Health Agency
  • Scottsdale, AZ
  • NPI 1730388828
  NPD

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

{
    "created_epoch": "1725235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725235200000",
    "number": "1962236885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2766 W PLACITA MESA ALTA",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857428736",
            "telephone_number": "908-783-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10049 E DYNAMITE BLVD STE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852623694",
            "telephone_number": "480-419-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER",
        "first_name": "OLIVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-02",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP15608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Marie Decarlo, CF-SLP
• Farha Gabrielle Deceus, MD
• Brittany Dechape, MS, PA-C
• Mark Michael Dechter, M.D.
• Kara M Decker, PNP
• Sarah Decker, PA
• Wyatt Decker, M.D.
• David George Deckey, MD
• Lori Joy Decook, PA-C
• April C Decoufle, CCC-SLP

• Speech-Language Pathologist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.