Individual provider Active NPI

Jill Marie Olsen, DPT, CSCS

  • Physical Therapist
  • Boston, MA
National Provider Identifier
1225393598
Registry record updated Oct 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
425 Brookline Ave
Boston, MA 02215-5410
Phone
(617) 232-4018
Fax
(617) 734-1731
NPI assigned
Jul 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2015

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 MA Primary

Addresses

Primary practice location

425 Brookline Ave
Boston, MA 02215-5410

Mailing address

35 Park Dr
Apt B
Boston, MA 02215-4901
Phone (860) 874-4035

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120914000602 MA Practitioner - Physical Therapist in Private Practice 5092963116 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Joint Ventures Physical Therapy, Inc. Physical Therapist CurrentSince Apr 4, 2016 Accepting new patients
Flexplus Physical Therapy LLC Physical Therapist CurrentSince Jul 12, 2021 Accepting new patients
Olsen Physical Therapy LLC Physical Therapist Current Accepting new patients
Joint Ventures Physical Therapy, Inc. CurrentSince Apr 4, 2016 Accepting new patients

Locations

40 Speen St
Ste 102
Framingham, MA 01701
Phone (508) 650-0060

31 Andrew Ave
Wayland, MA 01778
Phone (508) 358-3410

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": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444262400000",
    "number": "1225393598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 PARK DR",
            "address_2": "APT B",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022154901",
            "telephone_number": "860-874-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 BROOKLINE AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155410",
            "telephone_number": "617-232-4018",
            "fax_number": "617-734-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "credential": "DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-11",
        "last_updated": "2015-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; 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.