Active NPI
Bryan James Olson, DPT
- Physical Therapist
- Rapid City, SD
National Provider Identifier
1265989362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1895
- Practice address
- 353 Fairmont Blvd
Rapid City, SD 57701-7375 - Phone
- (605) 755-1100
- NPI assigned
- Sep 6, 2016
- Sex
- Male
- 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 | 1895 | SD | Primary |
Addresses
Primary practice location
353 Fairmont Blvd
Rapid City, SD 57701-7375
Mailing address
3945 Pointe West PL
Apt 314
Rapid City, SD 57702-0606
Phone (605) 391-1924
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1895 | SD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473120000000",
"number": "1265989362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3945 POINTE WEST PL",
"address_2": "APT 314",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577020606",
"telephone_number": "605-391-1924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "353 FAIRMONT BLVD",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577017375",
"telephone_number": "605-755-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "BRYAN",
"middle_name": "JAMES",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-06",
"last_updated": "2016-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SD",
"license": "1895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rapid City, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.