Individual provider Active NPI

Kayla Olson, PT

  • Physical Therapist
  • West Hartford, CT
National Provider Identifier
1144949777
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
013219 Issued in CT
Practice address
29 N Main St
West Hartford, CT 06107-1933
Phone
(860) 561-3960
NPI assigned
Aug 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 013219 CT Primary

Addresses

Primary practice location

29 N Main St
West Hartford, CT 06107-1933

Mailing address

56 Beechwood Dr
New Britain, CT 06053-3405

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kaymolson@selectmedical.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221013003280 CT Practitioner - Physical Therapist in Private Practice 0941676027 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013219CTMDPhysical Therapist
13219CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Rehabilitation Center Inc Physical Therapist CurrentSince Sep 5, 2022 Accepting new patients
Ptsma, Inc. CurrentSince Sep 1, 2022 Accepting new patients
Ptsma Inc CurrentSince Sep 1, 2022 Accepting new patients
Ptsma, Inc. Physical Therapist Current Accepting new patients

Locations

3A Candlewood Hill Rd
Higganum, CT 06441
Phone (860) 345-2622

37 S Broad St
Ste 12
Pawcatuck, CT 06379
Phone (860) 495-1919

29 N Main St
West Hartfrd, CT 06107
Phone (860) 561-2624

719 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 257-7473

Organizations & group practices 4

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": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1144949777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 BEECHWOOD DR",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060533405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 N MAIN ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071933",
            "telephone_number": "860-561-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "KAYLA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "013219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kaymolson@selectmedical.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "29 N Main St",
            "city": "West Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061071933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.