Active NPI
Julie Elyse Olle
- Physical Therapy Assistant
- Pleasanton, TX
National Provider Identifier
1073092706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2115029
- Practice address
- 905 W Oaklawn Rd
Pleasanton, TX 78064-3953 - Phone
- (860) 569-3861
- NPI assigned
- Aug 13, 2018
- 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 Therapy Assistant | 225200000X | 2115029 | TX | Primary |
Addresses
Primary practice location
905 W Oaklawn Rd
Pleasanton, TX 78064-3953
Mailing address
PO Box 214
Leming, TX 78050-0214
Phone (830) 570-8606
Other practice location 1
1855 W Goodwin St
Pleasanton, TX 78064-4502
Phone (830) 281-8202
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2115029 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534118400000",
"number": "1073092706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 214",
"city": "LEMING",
"state": "TX",
"postal_code": "780500214",
"telephone_number": "830-570-8606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 W OAKLAWN RD",
"city": "PLEASANTON",
"state": "TX",
"postal_code": "780643953",
"telephone_number": "860-569-3861"
}
],
"practiceLocations": [
{
"address_1": "1855 W Goodwin St",
"address_purpose": "LOCATION",
"city": "Pleasanton",
"state": "TX",
"postal_code": "780644502",
"country_code": "US",
"telephone_number": "830-281-8202",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLLE",
"first_name": "JULIE",
"middle_name": "ELYSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-13",
"last_updated": "2018-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2115029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pleasanton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.