Diaz-Olson Physical Therapy and Sports Rehabilitation, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

DIAZ-OLSON PHYSICAL THERAPY AND SPORTS REHABILITATION, INC.

Practice address

448 E El Camino Real
Sunnyvale, CA 94087

Phone

(408) 245-3575

Fax

(408) 245-3576

NPI assigned

Aug 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael Neal Olson, PTNPI 1982613204

Title

Ceo

Phone

(408) 245-3575

Specialties & licenses 2

Addresses

Other names 1

• Diaz-Olson Physical Therapy Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Neal Olson, PT

  • Physical Therapist
  • Sunnyvale, CA
  • NPI 1982613204
  Medicare reassignment Care Compare group Authorized official
• Heather W Hartman, PT, DPT

  • Physical Therapist
  • Sunnyvale, CA
  • NPI 1841611738
  Medicare reassignment Care Compare group
• Duffy Chan, P.T.

  • Specialist
  • Sugar Land, TX
  • NPI 1033302617

  CA

  Medicare reassignment Care Compare group
• Scott Matsuura, PT

  • Physical Therapist
  • Sunnyvale, CA
  • NPI 1104829878
  Medicare reassignment
• Anna C Ericsson, PT

  • Physical Therapist
  • Sunnyvale, CA
  • NPI 1104850247
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533168000000",
    "number": "1043229362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 E EL CAMINO REAL",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940871938",
            "telephone_number": "408-245-3575",
            "fax_number": "408-245-3576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 E EL CAMINO REAL",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "94087",
            "telephone_number": "408-245-3575",
            "fax_number": "408-245-3576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAZ-OLSON PHYSICAL THERAPY AND SPORTS REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2018-08-02",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "NEAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-245-3575",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diaz-Olson Physical Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Diaz-Olson Physical Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Neeth Devaiah
• Lisa Devlin, DC
• Anjuli Dhillon, NP
• Vandana Dhir
• Russell Douglas Di Bari, DDS
• Enrique Diaz, P.T
• Marcus Diaz
• Michelle Elise Dickey, NP
• Michelle Rose Dictor, FNP-C
• Janel Diehr, APRN, FNP

• Physical Therapist in Sunnyvale, CA
• Providers in Sunnyvale, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; 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.