Active NPI
Donna Marie Olen, COTA/L
- Occupational Therapy Assistant
- Fort Myers, FL
National Provider Identifier
1366684540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 388
- Practice address
- 55 Jima CT
Fort Myers, FL 33912-6345 - Phone
- (239) 357-7357
- NPI assigned
- Apr 2, 2009
- Last updated
- Apr 2, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 388 | NY | Primary |
Addresses
Primary practice location
55 Jima CT
Fort Myers, FL 33912-6345
Mailing address
55 Jima Court
Fort Myers, FL 33912
Phone (239) 357-7357
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 |
|---|---|---|---|
| 388 | NY | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238630400000",
"number": "1366684540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 JIMA COURT",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "33912",
"telephone_number": "239-357-7357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 JIMA CT",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339126345",
"telephone_number": "239-357-7357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLEN",
"first_name": "DONNA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-02",
"last_updated": "2009-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NY",
"license": "388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.