Individual provider Active NPI

Monica Lynn Olson, P.T.

  • Physical Therapist
  • Fairbanks, AK
National Provider Identifier
1215013263
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1468 Issued in AK
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

Updated by the provider on Nov 19, 2007

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 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

IdentifierTypeStateIssuer
PT9414MedicaidAK
1972643138OtherAKNPI # EQUINOX,INC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120822000031 AK Practitioner - Physical Therapist in Private Practice 3678720919 Reassigns benefits to 1 organization

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
Equinox IncGroup PAC ID 0749273795, 8 clinicians

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

OrganizationSpecialtyStatusNew patients
Rio Rancho Physical Therapy PastSince Aug 19, 1996 Accepting new patients
Armada Physical Therapy of Albuquerque LLC PastSince Oct 1, 2019 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.

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.

Verify at the official NPI Registry.