Active NPI
Jean Olsen, MA LMT
- Massage Therapist
- Venice, FL
National Provider Identifier
1083766513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- C6544
- Practice address
- 617 S Tamiami Trail
Venice Chiropractic
Venice, FL 34285 - Phone
- (941) 488-6308
- NPI assigned
- Jan 17, 2007
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | C6544 | FL | Primary |
Addresses
Primary practice location
617 S Tamiami Trail
Venice Chiropractic
Venice, FL 34285
Mailing address
PO Box 51416
Sarasota, FL 34232-0311
Phone (941) 355-3319
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C6544 | Other | FL | BCBS |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C6544 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hanna Chiropractic PA | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083766513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 51416",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342320311",
"telephone_number": "941-355-3319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "617 S TAMIAMI TRAIL",
"address_2": "VENICE CHIROPRACTIC",
"city": "VENICE",
"state": "FL",
"postal_code": "34285",
"telephone_number": "941-488-6308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSEN",
"first_name": "JEAN",
"name_prefix": "Ms.",
"credential": "MA LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "C6544",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "C6544",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.