Individual provider Active NPI

Andrew Roland Olson, DPT

  • Orthopedic Physical Therapist
  • Rice Lake, WI
National Provider Identifier
1235755265
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
15125-24 Issued in WI
Practice address
1507 W Knapp St Unit 1
Rice Lake, WI 54868-1384
Phone
(715) 236-3610
NPI assigned
Jun 25, 2020
Last updated
Sep 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 15125-24 WI Primary

Addresses

Primary practice location

1507 W Knapp St Unit 1
Rice Lake, WI 54868-1384

Mailing address

611 Kruger Ave
Cameron, WI 54822-9571
Phone (715) 651-8113

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201027003537 WI Practitioner - Physical Therapist in Private Practice 4880004118 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimum Therapies of Rice LakeGroup PAC ID 3678904042, 6 clinicians

Practice addresses (Care Compare)

2600 S Wisconsin Ave
Suite a
Rice Lake, WI 54868-7527
Phone (715) 236-3610

Merit-based Incentive Payment System (MIPS)

Final score
94.3 of 100Reported as group
Quality
99.17
Improvement activities
40
Cost
82.1

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15125-24WIMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chippewa Valley Orthopedics and Sports Medicine Clinic, SC CurrentSince Oct 1, 2023 Accepting new patients
Chippewa Valley Orthopedics and Sports Medicine Clinic SC CurrentSince Oct 1, 2023 Accepting new patients
Optimum Therapies of Rice Lake CurrentSince Jun 29, 2020 Accepting new patients
Optimum Therapies of Rice Lake Orthopedic CurrentSince Jun 29, 2020 Accepting new patients

Locations

1200 Oakleaf Way
Ste A
Altoona, WI 54720
Phone (800) 322-1747

1151 E Division Ave
Barron, WI 54812
Phone (715) 236-3610

1507 W Knapp St
Unit 1
Rice Lake, WI 54868
Phone (715) 236-3610

2200 Cedar Crest Dr
Ste A
Rice Lake, WI 54868
Phone (715) 455-0408

2600 S Wisconsin Ave
Ste A
Rice Lake, WI 54868
Phone (715) 236-3610

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1235755265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 KRUGER AVE",
            "city": "CAMERON",
            "state": "WI",
            "postal_code": "548229571",
            "telephone_number": "715-651-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 W KNAPP ST UNIT 1",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548681384",
            "telephone_number": "715-236-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "ANDREW",
        "middle_name": "ROLAND",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WI",
            "license": "15125-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rice Lake, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.