NPIMap

Organization Active NPI

Olsen Chiropractic, LLC

Doing business as Just For The Health Of It

  • Chiropractor
  • Vancouver, WA
National Provider Identifier
1215219068
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034644 Issued in WA
Legal business name
OLSEN CHIROPRACTIC, LLC
Doing business as
Just For The Health Of It
Practice address
2402 Broadway
Vancouver, WA 98663
Phone
(360) 241-6630
Fax
(360) 567-0620
NPI assigned
Sep 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Authorized official

Name
Dr. Cara Olsen, DCNPI 1376553479
Title
Owner
Phone
(360) 241-6630

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH60320567 WA
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH00034644 WA Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MA60190315 WA
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MA60236454 WA
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MA60239117 WA

Addresses

Primary practice location

2402 Broadway
Vancouver, WA 98663

Mailing address

2402 Broadway
Vancouver, WA 98663
Phone (360) 241-6630

Other names 1

  • Just For The Health Of It Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151102001632 WA Part B Supplier - Clinic/Group Practice 2668782772 Receives reassigned benefits from 4 practitioners
Practice locations: Vancouver, WA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1316131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1215219068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 BROADWAY",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98663",
            "telephone_number": "360-241-6630",
            "fax_number": "360-567-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 BROADWAY",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98663",
            "telephone_number": "360-241-6630",
            "fax_number": "360-567-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLSEN CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-16",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "CARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-241-6630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60320567",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034644",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60190315",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60236454",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60239117",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Just For The Health Of It",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.