Elizabeth Hermodson-Olsen, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

411 7TH Ave NW
Arlington, MN 55307-2156

Phone

(507) 964-2251

NPI assigned

Sep 23, 2020

Last updated

Nov 27, 2023By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: ehermods@good-sam.com

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1083221121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 1ST ST E",
            "city": "GLENCOE",
            "state": "MN",
            "postal_code": "553363212",
            "telephone_number": "320-296-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 7TH AVE NW",
            "city": "ARLINGTON",
            "state": "MN",
            "postal_code": "553072156",
            "telephone_number": "507-964-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMODSON-OLSEN",
        "first_name": "ELIZABETH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ehermods@good-sam.com",
            "affiliation": "Y",
            "affiliationName": "The Evangelical Lutheran Good Samaritan Society",
            "address_1": "411 7th Ave NW",
            "city": "Arlington",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553072156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Physical Therapist in Arlington, MN
• Providers in Arlington, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.