Brian Lane Olson

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT-513 Issued in ID

Practice address

510 E 17TH St # 400
Idaho Falls, ID 83404-6154

Phone

(208) 589-0807

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013029792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E 17TH ST # 400",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E 17TH ST # 400",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046154",
            "telephone_number": "208-589-0807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "BRIAN",
        "middle_name": "LANE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "ID",
            "license": "OT-513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Michael Oldroyd, M D
• Cody Lamar Oliverson, CRNA
• Garrett Olsen, DO
• Jaren Olsen, OD
• Brant N Olson, D.D.S.,P.A.
• Eric Olson, LCPC
• Eric Peter Olson, MD
• Jonathan Allred Olson
• Melissa Olson, IS
• Stephanie Olson, B.A.

• Pediatric Occupational Therapist in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Pediatric Occupational Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.