Individual provider Active NPI

Elizabeth A O'Rear, M.A.CCC-SLP

  • Speech-Language Pathologist
  • Stillwater, OK
National Provider Identifier
1972956845
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4124 Issued in OK
Practice address
814 S Walnut St
Stillwater, OK 74074-4225
Phone
(405) 835-3920
NPI assigned
Jul 15, 2016
Last updated
Aug 16, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4124 OK Primary

Addresses

Primary practice location

814 S Walnut St
Stillwater, OK 74074-4225

Mailing address

201 S Keats Dr
Stillwater, OK 74074-6785

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240111001438 OK Practitioner - Qualified Speech Language Pathologist 7214388511 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4124OKMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dysphagia Specialists, PLLC Speech-Language Pathologist CurrentSince Dec 29, 2023 Accepting new patients
Stillwater Speech-Language Services Speech-Language Pathologist Past Accepting new patients

Locations

301 S Duck St
Stillwater, OK 74074
Phone (405) 377-8255

301 S Duck St
Ste 1
Stillwater, OK 74074
Phone (405) 377-8255

814 S Walnut St
Stillwater, OK 74074
Phone (405) 377-8255

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471305600000",
    "number": "1972956845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S KEATS DR",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740746785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 S WALNUT ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744225",
            "telephone_number": "405-835-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'REAR",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "M.A.CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-15",
        "last_updated": "2016-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "4124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.