Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1235860578 Individual Practitioner Female Practitioner

Olivia J Distefano , MS

Speech-Language Pathologist • Stafford, VA

Professional Overview & Biography Verified Profile Summary

Olivia Distefano, MS is a registered healthcare professional specializing in Speech-Language Pathologist in Stafford, VA. Practice services are available at 2765 RICHMOND HWY STE 203 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2765 Richmond Hwy Ste 203

Stafford, VA 225548331

Telephone 5404465323
Associated Practice Facility / Clinic
🏢 Coastline Therapy Group, Llc Facility NPI 1730681388

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Stafford, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.0 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
74 Specialists

Practicing in Stafford, VA (4974 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-08-04
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License VA 2202011064

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License NC 30000795

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Secondary Practice Locations

3901 Wrightsville Ave Ste 120

Wilmington, NC 284036256

Phone: 9106798385

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners
Meghan Baker , OTA

Occupational Therapy Assistant

NPI 1023811916
Emily Schuette

Occupational Therapist

NPI 1073109278
Dr. Jordan Back , DPT

Physical Therapist

NPI 1073271706

Doctor of Physical Therapy

Samantha Helsley , OTR, L

Occupational Therapist

NPI 1124844212

Occupational Therapist Registered, L

Dr. Stacie Dugan , DPT

Physical Therapist

NPI 1134359524

Doctor of Physical Therapy

Sarah Kasdan , MS OTR, L

Occupational Therapist

NPI 1205066925

MSOTR, L

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location August 04, 2026

Registered at 2765 RICHMOND HWY STE 203, STAFFORD, VA 225548331 (Tel: 5404465323)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2026

Speech-Language Pathologist (License #2202011064 in VA)

NPI Profile Active June 27, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location June 27, 2022

Registered at 3901 WRIGHTSVILLE AVE STE 120, WILMINGTON, NC 284036256 (Tel: 9106798385)

📍
Updated Business Mailing Address June 27, 2022

Registered at 3901 WRIGHTSVILLE AVE STE 120, WILMINGTON, NC 284036256 (Tel: 9106798385)

👤
Provider Name / Credentials Updated June 27, 2022

Recorded as OLIVIA DISTEFANO, MS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2022

Speech-Language Pathologist (License #30000795 in NC)

🟢
Initial NPI Registration & Enumeration June 17, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235860578
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2022
Last Update: August 04, 2026
Sole Proprietor: Yes

Mailing Address

3901 Wrightsville Ave Ste 120

Wilmington, NC 284036256

Phone: 9106798385

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.