Andrea Lynn Olsen, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01885500 Issued in NJ

Practice address

314 Central Ave Ste 2a
Linwood, NJ 08221-2005

Phone

(609) 365-8499

NPI assigned

Sep 9, 2019

Sex

Female

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

Enrolled in NJ

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

90 of 100Reported as individual

Quality

80

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Body in Balance Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Linwood, NJ
  • NPI 1932397643

  Multi-Specialty, NJ

  Medicare reassignment NPD

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1053960468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 13TH ST",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080378618",
            "telephone_number": "609-402-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 CENTRAL AVE STE 2A",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082212005",
            "telephone_number": "609-365-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "ANDREA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01885500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NJ Internal Medicine Associates LLC
• Norman Chazin MD LLC
• Northeast Institute for Age Management
• Brian O'Shea
• Oaks Integrated Care, Inc
• Orozco Orthopaedics LLC
• Fabio Ramiro Orozco, M.D.
• Clodualdo S Orquiza, MD
• Osprey Rehabilitation, LLC.
• Patricia Ann Otaegui, APN

• Physical Therapist in Linwood, NJ
• Providers in Linwood, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.