Jared Ollis

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

271659 Issued in KY

Practice address

10000 Brownsboro Rd Ste 5
Louisville, KY 40241-3900

Phone

(906) 362-2931

NPI assigned

Jul 10, 2021

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

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ollis Chiropractic, PSCGroup PAC ID 2961429295, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Ollis Chiropractic, PSC

  • Chiropractor
  • Louisville, KY
  • NPI 1831387190
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1625875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625875200000",
    "number": "1427620475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 BROWNSBORO RD STE 5",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402413900",
            "telephone_number": "906-362-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 BROWNSBORO RD STE 5",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402413900",
            "telephone_number": "906-362-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLLIS",
        "first_name": "JARED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-10",
        "last_updated": "2021-07-10",
        "certification_date": "2021-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "271659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordyn Oliveri, M.S. CCC-SLP
• Kristin Rhea Oliverio, PT
• Darrelanne Elizabeth Olivieri
• Jennifer Olliges, LM, CPM
• Ollis Chiropractic, PSC
• Jason Evan Ollis, D.C.
• Emma Elizabeth Olmstead
• Fatai Olorunsola
• Dana Ann Olsen
• Vincent F Olshove Jr., CCP

• Chiropractor in Louisville, KY
• Providers in Louisville, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2021; 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.