Provider Demographics
NPI:1386296879
Name:HUGHES, OLIVIA ALM (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:OLIVIA
Middle Name:ALM
Last Name:HUGHES
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MS
Other - First Name:OLIVIA
Other - Middle Name:L
Other - Last Name:ALM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:12100 REDSPIRE DR UNIT 202
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40299-6145
Mailing Address - Country:US
Mailing Address - Phone:502-553-4480
Mailing Address - Fax:
Practice Address - Street 1:1410 LONG RUN RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40245-4334
Practice Address - Country:US
Practice Address - Phone:502-244-8011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-15
Last Update Date:2020-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY251287225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100622570Medicaid