Rebecca M Olson, OT – Occupational Therapist

Key facts

NPI: 1265809271
Entity type: Individual (NPI type 1)
Primary specialty: Occupational Therapist 225X00000X
License: 1994-026 (WI)
Practice address: 900 Colonial Dr
Hudson, WI 54016-1936
Phone: (715) 523-2277
NPI assigned: Aug 25, 2015
Sex: Female
Sole proprietor: Yes

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.

Aegis Therapies Skilled Nursing Facility · Hudson, WI · NPI 1174905087

NPD (past) Authorized official

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
1994-026	WI	MD	Occupational Therapist

Practice roles

Organization	Specialty	Status	New patients
Aegis Therapies		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Occupational Therapist	225X00000X	1994-026	WI	Yes

Addresses

Primary practice location

900 Colonial Dr
Hudson, WI 54016-1936

Mailing address

900 Colonial Dr
Hudson, WI 54016-1936
Phone (715) 523-2277

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 25, 2015.

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1265809271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 COLONIAL DR",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540161936",
            "telephone_number": "715-523-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 COLONIAL DR",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540161936",
            "telephone_number": "715-523-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "REBECCA",
        "middle_name": "M",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-25",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "1994-026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, WI

All providers in Hudson, WI · Occupational Therapist in Wisconsin

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2015. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.