Active NPI
Kristin Olsen, MPT
- Physical Therapist
- Geneva, IL
National Provider Identifier
1386816486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070-016318
- Practice address
- 1002 Commons Dr
Suite 1002
Geneva, IL 60134-2539 - Phone
- (630) 208-7831
- Fax
- (630) 208-9033
- NPI assigned
- Mar 28, 2008
- Sex
- Female
- 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 | 070-016318 | IL | Primary |
Addresses
Primary practice location
1002 Commons Dr
Suite 1002
Geneva, IL 60134-2539
Mailing address
0N139 Holland LN
Geneva, IL 60134-4419
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-016318 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269302400000",
"number": "1386816486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "0N139 HOLLAND LN",
"city": "GENEVA",
"state": "IL",
"postal_code": "601344419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 COMMONS DR",
"address_2": "SUITE 1002",
"city": "GENEVA",
"state": "IL",
"postal_code": "601342539",
"telephone_number": "630-208-7831",
"fax_number": "630-208-9033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSEN",
"first_name": "KRISTIN",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-28",
"last_updated": "2010-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-016318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Geneva, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.