Timothy Olson

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01333900 Issued in NJ

Practice address

34 Mountain Blvd
Warren, NJ 07059-2640

Phone

(908) 222-0515

Fax

(908) 222-0516

NPI assigned

Oct 5, 2009

Last updated

Oct 5, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

City University of New York School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pilates Advantage Physical TherapyGroup PAC ID 2769832609, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Pilates Advantage Physical Therapy

  • Physical Therapy Clinic/Center
  • Montclair, NJ
  • NPI 1134856396

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Pro Staff Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Nutley, NJ
  • NPI 1265750871

  Physical Therapist

  Medicare reassignment NPD
• Theraphysical, LLC

  • Physical Therapy Clinic/Center
  • Lyndhurst, NJ
  • NPI 1134463235
  Medicare reassignment NPD
• Theraphysical, LLC

  • Physical Therapist
  • Garfield, NJ
  • NPI 1821694670
  NPD
• Jag-One Physical Therapy, LLC

  • Physical Therapist
  • West Orange, NJ
  • NPI 1518017144
  NPD (past)

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254700800000",
    "number": "1255666541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 EAGLE ROCK AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522994",
            "telephone_number": "973-669-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 MOUNTAIN BLVD",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070592640",
            "telephone_number": "908-222-0515",
            "fax_number": "908-222-0516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "TIMOTHY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-05",
        "last_updated": "2009-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01333900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nora Nolan, PTA
• Mark Rory Norville
• Nourishing Minds Counseling Center LLC
• Sarah Nunn, LCSW
• Kathleen O'Reilly, PA-C
• Optical Associates, LLC
• Optimize Spine & Wellness PC
• Brandon Orevillo, LAC MAP
• Michelle A Ortega, MS, CCC-SLP
• Orthopaedic & Spine Center of New Jersey

• Physical Therapist in Warren, NJ
• Providers in Warren, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; 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.