Active NPI
Lena Olsson Noonan, PT
- Physical Therapist
- Boston, MA
National Provider Identifier
1093797771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1524
- Practice address
- 5 Whittier PL
Suite 101
Boston, MA 02114-1428 - Phone
- (617) 512-6856
- NPI assigned
- Nov 17, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 | 1524 | MA | Primary |
Addresses
Primary practice location
5 Whittier PL
Suite 101
Boston, MA 02114-1428
Mailing address
19 Shepard St
# 22
Cambridge, MA 02138-1728
Phone (617) 868-3145
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70010000Y65126 | Other | MA | BCBS PRODUCTS INDEMNITY, PPA, HMO BLUE, MEDICARE ADVANTAGE HMO AND PPO PLANS |
| 0342645 | Medicaid | MA | |
| 468019 | Other | MA | TUFTS PPO OUT OF NETWORK |
Other names 1
- Lena Olsson
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 |
|---|---|---|---|
| 1524 | MA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pratt Ophthalmology Associates, Inc | 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": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414022400000",
"number": "1093797771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 SHEPARD ST",
"address_2": "# 22",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021381728",
"telephone_number": "617-868-3145",
"fax_number": "617-643-4015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 WHITTIER PL",
"address_2": "SUITE 101",
"city": "BOSTON",
"state": "MA",
"postal_code": "021141428",
"telephone_number": "617-512-6856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSSON NOONAN",
"first_name": "LENA",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-17",
"last_updated": "2014-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "1524",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PRODUCTS INDEMNITY, PPA, HMO BLUE, MEDICARE ADVANTAGE HMO AND PPO PLANS",
"identifier": "70010000Y65126",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0342645",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS PPO OUT OF NETWORK",
"identifier": "468019",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LENA",
"last_name": "OLSSON",
"credential": "PT",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.