James M Olson, MAPT, MTC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6847 Issued in MN

Practice address

410 30TH Ave E
Suite 102
Alexandria, MN 56308-4769

Phone

(320) 763-5505

Fax

(320) 763-4447

NPI assigned

Jul 18, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwest Industrial Rehabilitation Services IncGroup PAC ID 6507821758, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Northwest Industrial Rehabilitation Services Inc.

  • Physical Therapy Clinic/Center
  • Alexandria, MN
  • NPI 1184700924

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213142400000",
    "number": "1326047879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 30TH AVE E",
            "address_2": "SUITE 102",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563084769",
            "telephone_number": "320-763-5505",
            "fax_number": "320-763-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 30TH AVE E",
            "address_2": "SUITE 102",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563084769",
            "telephone_number": "320-763-5505",
            "fax_number": "320-763-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "JAMES",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "MAPT, MTC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2008-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "6847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "482487300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Elin Oldre, MA, LPC
• Mary Kay Olerud
• Jeffrey R Olive, MD
• Megan Catherine Olsem, PHARMD
• Mary Louise Olsen, RDH
• Jenni L Olson, RN
• Kathryn Christine Olson
• Landon Edward Olson, D.C.
• Shanon Olson
• Tasha Olson

• Physical Therapist in Alexandria, MN
• Providers in Alexandria, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.