Melissa Lee Olstad, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A621 Issued in MN

Practice address

719 2ND St SE
Glenwood, MN 56334-1810

Phone

(320) 634-5779

Fax

(320) 634-4097

NPI assigned

Sep 9, 2008

Last updated

Sep 9, 2008By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220918400000",
    "number": "1194974675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 2ND ST SE",
            "city": "GLENWOOD",
            "state": "MN",
            "postal_code": "563341810",
            "telephone_number": "320-634-5779",
            "fax_number": "320-634-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 2ND ST SE",
            "city": "GLENWOOD",
            "state": "MN",
            "postal_code": "563341810",
            "telephone_number": "320-634-5779",
            "fax_number": "320-634-4097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSTAD",
        "first_name": "MELISSA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MN",
            "license": "A621",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arriann Muller-Hanson
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• Jeremy Myrom, DR DENTIST
• Margie Ruth Nelson, CFNP
• North Country Counseling P.C. (North Country Counseling)
• Andrew Ostrander
• Cynthia Rae Ostrander, OTR/L
• Parkview Court
• Meagan Lee Paumen
• Caitlin Pederson

• Physical Therapy Assistant in Glenwood, MN
• Providers in Glenwood, MN by specialty
• Physical Therapy Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.