Active NPI
Jennifer Olson, RPT
- Physical Therapist
- Cambridge, MN
National Provider Identifier
1023100682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6229
- Practice address
- 1001 Highway 95 E Ste 190
Cambridge, MN 55008-1769 - Phone
- (763) 689-5385
- NPI assigned
- Sep 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6229 | MN | Primary |
Addresses
Primary practice location
1001 Highway 95 E Ste 190
Cambridge, MN 55008-1769
Mailing address
1160 Anchor CT
Harris, MN 55032-2900
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6404624 | Other | MN | MEDICA |
| HP45856 | Other | MN | HEALTH PARTNERS |
| 248K4OL | Other | MN | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1023100682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1160 ANCHOR CT",
"city": "HARRIS",
"state": "MN",
"postal_code": "550322900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 HIGHWAY 95 E STE 190",
"city": "CAMBRIDGE",
"state": "MN",
"postal_code": "550081769",
"telephone_number": "763-689-5385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "JENNIFER",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-29",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "6229",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "6404624",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP45856",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "248K4OL",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.