NPIMap

Individual provider Active NPI

Andy Kenji Olsen, DO

  • Physical Medicine & Rehabilitation Physician
  • Parker, CO
National Provider Identifier
1144617499
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
DR.0064796 Issued in CO
Practice address
12230 Lioness Way
Parker, CO 80134-5603
Phone
(720) 644-9355
Fax
(720) 523-1654
NPI assigned
Apr 23, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X DR.0064796 CO Primary
Physical Medicine & Rehabilitation Physician 208100000X OP60949092 WA

Addresses

Primary practice location

12230 Lioness Way
Parker, CO 80134-5603

Mailing address

12230 Lioness Way
Parker, CO 80134-5603
Phone (720) 644-9355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200713000833 CO Practitioner - Physical Medicine and Rehabilitation 9436445178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carepoint Hospital Medicine PLLCGroup PAC ID 4688939903, 28 clinicians

Practice addresses (Care Compare)

10101 Ridgegate Pkwy
Lone Tree, CO 80124-5522
Phone (720) 225-1000

1501 S Potomac St
Med Ctr of Aurora Pmandr
Aurora, CO 80012-5411
Phone (303) 695-2628

1719 E 19TH Ave
Denver, CO 80218-1235

900 Potomac St
Aurora, CO 80011-6716
Phone (303) 367-1166

Hospital & facility affiliations

  • The Medical Center of Aurora & South Hospital Hospital, Aurora, CO, CCN 060100
  • HCA Healthone Mountain Ridge Hospital, Thornton, CO, CCN 060065
  • University of Colorado Hospital Authority Hospital, Aurora, CO, CCN 060024
  • HCA Healthone Spalding Rehabilitation Inpatient rehabilitation facility, Aurora, CO, CCN 063027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OP60949092WAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carepoint Hospital Medicine, PLLC Physical Medicine & Rehabilitation CurrentSince Aug 1, 2022 Accepting new patients
Carepoint Hospital Medicine, PLLC CurrentSince Aug 1, 2022 Accepting new patients
Spalding Rehabilitation LLC Past Accepting new patients

Locations

900 Potomac St
Aurora, CO 80011
Phone (303) 363-5333

1719 E 19th Ave
Denver, CO 80218
Phone (303) 839-6000

1501 S Potomac St
Denver, CO 80012
Phone (303) 695-2604

Organizations & group practices 3

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.

Hospital & facility affiliations 44

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1144617499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12230 LIONESS WAY",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801345603",
            "telephone_number": "720-644-9355",
            "fax_number": "720-523-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12230 LIONESS WAY",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801345603",
            "telephone_number": "720-644-9355",
            "fax_number": "720-523-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "ANDY",
        "middle_name": "KENJI",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-23",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CO",
            "license": "DR.0064796",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WA",
            "license": "OP60949092",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.