Michelle Marie Olson, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

725-27 Issued in WI

Practice address

600 York St
Manitowoc, WI 54220-6845

Phone

(920) 320-6750

Fax

(920) 682-1981

NPI assigned

Jul 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295765667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 WESTERN AVE",
            "address_2": "PO BOX 2170",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542212170",
            "telephone_number": "920-320-8667",
            "fax_number": "920-320-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542206845",
            "telephone_number": "920-320-6750",
            "fax_number": "920-682-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "725-27",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40821500",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "T19 MANAGED HEALTH SERVIC",
            "identifier": "717459",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brianna Obry, DPT
• Miwako Ogurek
• John Leo Olsen, M.D.
• Craig Ladd Olson, M.D.
• Luke Daniel Olson, PA-C
• Nichole Olson
• Renee Louise Olson, PHYSICAL THERAPIST
• Kirstin Opgenorth
• Diane M Oppeneer, APNP
• Michael Owen Orchekowski, DDS

• Occupational Therapy Assistant in Manitowoc, WI
• Providers in Manitowoc, WI by specialty
• Occupational Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.