Active NPI
Monica Lynn Olson, P.T.
- Physical Therapist
- Fairbanks, AK
National Provider Identifier
1215013263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1468
- Practice address
- 3677 College Rd
Suite 12
Fairbanks, AK 99709-3712 - Phone
- (907) 479-3800
- Fax
- (907) 479-9195
- NPI assigned
- Oct 31, 2006
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1468 | AK | Primary |
Addresses
Primary practice location
3677 College Rd
Suite 12
Fairbanks, AK 99709-3712
Mailing address
P.O. Box 71323
Fairbanks, AK 99707-1323
Phone (907) 479-3800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT9414 | Medicaid | AK | |
| 1972643138 | Other | AK | NPI # EQUINOX,INC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- R Franklin University of Med & Sci/Chicago Medical School, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3677 College Rd
Suite 13
Fairbanks, AK 99709-3732
Phone (907) 479-3800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rio Rancho Physical Therapy | Past | Accepting new patients | |
| Armada Physical Therapy of Albuquerque LLC | Past | Accepting new patients |
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.
-
- Clinic/Center
- Fairbanks, AK
- NPI 1972643138
-
- Multi-Specialty Clinic/Center
- Albuquerque, NM
- NPI 1851713663
-
- Orthopedic Physical Therapist
- Rio Rancho, NM
- NPI 1104869387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195430400000",
"number": "1215013263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 71323",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997071323",
"telephone_number": "907-479-3800",
"fax_number": "907-479-9195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3677 COLLEGE RD",
"address_2": "SUITE 12",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997093712",
"telephone_number": "907-479-3800",
"fax_number": "907-479-9195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "MONICA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2007-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AK",
"license": "1468",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PT9414",
"state": "AK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI # EQUINOX,INC",
"identifier": "1972643138",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.