Amy L Olson

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1231019 Issued in WI

Practice address

705 E Taylor St
Prairie Du Chien, WI 53821-2110

Phone

(608) 357-2000

Fax

(608) 357-2254

NPI assigned

May 30, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1447418942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 E TAYLOR ST",
            "city": "PRAIRIE DU CHIEN",
            "state": "WI",
            "postal_code": "538212110",
            "telephone_number": "608-357-2000",
            "fax_number": "608-357-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E TAYLOR ST",
            "city": "PRAIRIE DU CHIEN",
            "state": "WI",
            "postal_code": "538212110",
            "telephone_number": "608-357-2000",
            "fax_number": "608-357-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "AMY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-30",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "1231019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36164500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edwin Herbert Neumann, O.D.
• Michael John Norder, RPH
• Katie Novak, M.S.
• Frederick Burnell Oates, D.D.S.
• Patricia J Olijnyk, MD
• Thomas John Olson
• Tierah Ostrander
• Terri L Payne, FNP, CNM
• PDC Dentistry S C
• PDC Dentistry, LLC (PdC Dentistry)

• Physical Therapy Assistant in Prairie Du Chien, WI
• Providers in Prairie Du Chien, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.