Dana Lee Olzenak, PT, DPT, MBA

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

018667 Issued in NY

Practice address

10 Main Street
Waddington, NY 13694

Phone

(315) 388-7703

Fax

(315) 388-4707

NPI assigned

Feb 7, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Coast Occupational, Physical & Speech Therapy PLLC

  • Early Intervention Provider Agency
  • Waddington, NY
  • NPI 1881834182
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386784411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1677 COUNTY ROUTE 35",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136763119",
            "telephone_number": "315-268-3787",
            "fax_number": "315-268-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MAIN STREET",
            "city": "WADDINGTON",
            "state": "NY",
            "postal_code": "13694",
            "telephone_number": "315-388-7703",
            "fax_number": "315-388-4707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLZENAK",
        "first_name": "DANA",
        "middle_name": "LEE",
        "credential": "PT, DPT, MBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "018667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather J. Morrow, SLP
• Ashley Neal, MSED
• Andrea L. Newell, SLP
• North Coast Occupational, Physical & Speech Therapy PLLC
• Mitzy Ohlidal, MST
• Sally Passamonte, MST
• Anna Marie Payton, MSED
• Kaylene Pernice, MST
• Julie Rusaw, OCCUPATIONAL THERAPY
• June Rusaw, MSED

• Pediatric Physical Therapist in Waddington, NY
• Providers in Waddington, NY by specialty
• Pediatric Physical Therapist in New York

• 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.