Sherry Whiteley Olsen, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00008495 Issued in WA

Practice address

120 Lakeside Ave
Ste 210
Seattle, WA 98122-6534

Phone

(206) 925-3762

Fax

(206) 324-3600

NPI assigned

Jul 14, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sherry Marie Powers Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pacific Balance and Rehabilitation Clinic PLLC

  • Clinic/Center
  • Seattle, WA
  • NPI 1477582641
  NPD (past)

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1053609891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 LAKESIDE AVE",
            "address_2": "STE 210",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981226534",
            "telephone_number": "206-925-3762",
            "fax_number": "206-324-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LAKESIDE AVE",
            "address_2": "STE 210",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981226534",
            "telephone_number": "206-925-3762",
            "fax_number": "206-324-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "SHERRY",
        "middle_name": "WHITELEY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-14",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00008495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERRY",
            "last_name": "POWERS",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Linda Jean Olsen, RN
• Matthew Olsen
• Niels Reed Olsen
• Robert Barrington Olsen, MD
• Sharon Marie Olsen, RN MA PSYCHOLOGIST
• Sofia M Olsen
• Stephen B Olsen, M.D.
• Tracey Lynn Olsen, PTA
• Ora Anne Olsommer, P.AC
• Kristina Marie Olson-Kuyper, ND

• Physical Therapist in Seattle, WA
• Providers in Seattle, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.