Individual provider Active NPI

Hannah Katharine Olsen, M.S. OTR/L

  • Pediatric Occupational Therapist
  • Grand Rapids, MI
National Provider Identifier
1225528722
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
5201008629 Issued in MI
Practice address
400 Ann St NW Ste 106a
Grand Rapids, MI 49504-2053
Phone
(616) 591-2905
NPI assigned
May 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 5201008629 MI Primary

Addresses

Primary practice location

400 Ann St NW Ste 106a
Grand Rapids, MI 49504-2053

Mailing address

400 Ann St NW Ste 106a
Grand Rapids, MI 49504-2053
Phone (616) 591-2905

Other names 1

  • Hannah Katharine Wolcott Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Speech Services LLC CurrentSince May 10, 2018 Accepting new patients

Locations

4670 Fulton St E
Ste 201
Ada, MI 49301
Phone (616) 591-2905

400 Ann St NW
Ste 106A
Grand Rapids, MI 49504
Phone (616) 291-9762

Organizations & group practices 1

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": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1225528722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ANN ST NW STE 106A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495042053",
            "telephone_number": "616-591-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ANN ST NW STE 106A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495042053",
            "telephone_number": "616-591-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "HANNAH",
        "middle_name": "KATHARINE",
        "credential": "M.S. OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MI",
            "license": "5201008629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "WOLCOTT",
            "middle_name": "KATHARINE",
            "credential": "M.S. OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.