Active NPI
Ann M Olson, PT
- Orthopedic Physical Therapist
- Osceola, WI
National Provider Identifier
1386973048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 4827-26
- Practice address
- 2600 65TH Avenue
Osceola, WI 54020-4370 - Phone
- (715) 294-2111
- Fax
- (715) 294-5758
- NPI assigned
- Dec 9, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 1967-24 | WI | |
| Orthopedic Physical Therapist | 2251X0800X | 4827-26 | WI | Primary |
Addresses
Primary practice location
2600 65TH Avenue
Osceola, WI 54020-4370
Mailing address
PO Box 218
Osceola, WI 54020-0218
Phone (715) 294-2111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4827-26 | WI | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burnett Medical Center Inc | Current | Accepting new patients | |
| Burnett Medical Center Inc | Current | Accepting new patients | |
| Ladd Memorial Hospital | Current | Accepting new patients | |
| Ladd Memorial Hospital | Current | Accepting new patients | |
| Burnett Medical Center Inc | Past | Accepting new patients |
Locations
257 W Saint George Ave
Grantsburg, WI 54840
Phone (715) 463-5353
2600 65th Ave
Osceola, WI 54020
Phone (705) 268-8000
Organizations & group practices 5
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.
-
- Rural Health Clinic/Center
- Grantsburg, WI
- NPI 1356499784
-
- Critical Access Hospital
- Osceola, WI
- NPI 1467560227
-
- Skilled Nursing Facility
- Grantsburg, WI
- NPI 1487703815
-
- Rural Health Clinic/Center
- Osceola, WI
- NPI 1801394549
-
- Critical Access Hospital
- Grantsburg, WI
- NPI 1225191687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300060800000",
"number": "1386973048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 218",
"city": "OSCEOLA",
"state": "WI",
"postal_code": "540200218",
"telephone_number": "715-294-2111",
"fax_number": "715-294-5758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 65TH AVENUE",
"city": "OSCEOLA",
"state": "WI",
"postal_code": "540204370",
"telephone_number": "715-294-2111",
"fax_number": "715-294-5758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "ANN",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-09",
"last_updated": "2011-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "WI",
"license": "1967-24",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "WI",
"license": "4827-26",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Osceola, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.