Active NPI
Malgorzata Olson
- Physical Therapist
- Mesa, AZ
National Provider Identifier
1073901757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11271PT
- Practice address
- 4360 E Brown Rd
Suite 111
Mesa, AZ 85205-4084 - Phone
- (480) 222-0655
- Fax
- (480) 222-1457
- NPI assigned
- Jan 2, 2015
- 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 | 11271PT | AZ | Primary |
Addresses
Primary practice location
4360 E Brown Rd
Suite 111
Mesa, AZ 85205-4084
Mailing address
PO Box 6570
Peoria, AZ 85385-6570
Phone (623) 398-8072
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11271PT | AZ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420156800000",
"number": "1073901757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6570",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853856570",
"telephone_number": "623-398-8072",
"fax_number": "623-398-8235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4360 E BROWN RD",
"address_2": "SUITE 111",
"city": "MESA",
"state": "AZ",
"postal_code": "852054084",
"telephone_number": "480-222-0655",
"fax_number": "480-222-1457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "MALGORZATA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-02",
"last_updated": "2015-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "11271PT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.