Active NPI
Renee Olson, DPT
- Physical Therapist
- Woodbridge, VA
National Provider Identifier
1235712845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305215029
- Practice address
- 14348 Gideon Dr
Woodbridge, VA 22192-4640 - Phone
- (703) 490-1112
- Fax
- (703) 878-8732
- NPI assigned
- May 2, 2021
- 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 | 2305215029 | VA | Primary |
Addresses
Primary practice location
14348 Gideon Dr
Woodbridge, VA 22192-4640
Mailing address
14348 Gideon Dr
Woodbridge, VA 22192-4640
Phone (703) 490-1112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, VA
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.93 of 100
- Quality
- 86.7
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.06
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305215029 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centers for Advanced Orthopaedics, LLC | Current | Accepting new patients | |
| Centers for Advanced Orthopaedics, LLC | Current | Accepting new patients | |
| Pair & Marotta Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Centers for Advanced Orthopaedics LLC | Current | Accepting new patients | |
| Pair & Marotta Physical Therapy, Inc. | Current | Accepting new patients |
Locations
5337 Truxtun Ave
Bakersfield, CA 93309
Phone (661) 324-0122
2603 G St
Bakersfield, CA 93301
Phone (661) 634-9440
14605 Potomac Branch Dr
Ste 300
Woodbridge, VA 22191
Phone (703) 490-1112
14348 Gideon Dr
Woodbridge, VA 22192
Phone (703) 490-1112
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- Winchester, VA
- NPI 1861221863
-
- Physical Therapist
- Bakersfield, CA
- NPI 1942239926
-
- Orthopaedic Surgery Physician
- Gainesville, VA
- NPI 1063393833
-
- Orthopaedic Surgery Physician
- Woodbridge, VA
- NPI 1396184057
-
- Customized Equipment (DME)
- Bakersfield, CA
- NPI 1225783392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727308800000",
"number": "1235712845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14348 GIDEON DR",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221924640",
"telephone_number": "703-490-1112",
"fax_number": "703-878-8732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14348 GIDEON DR",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221924640",
"telephone_number": "703-490-1112",
"fax_number": "703-878-8732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "RENEE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-02",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305215029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.