Individual provider Active NPI

Lori Olson, D.C.

  • Rehabilitation Chiropractor
  • Minneapolis, MN
National Provider Identifier
1457485575
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
4083 Issued in MN
Practice address
1121 Jackson St NE Ste 130
Minneapolis, MN 55413-1637
Phone
(612) 741-2736
Fax
(612) 252-0379
NPI assigned
Mar 14, 2007
Last updated
Oct 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 4083 MN Primary

Addresses

Primary practice location

1121 Jackson St NE Ste 130
Minneapolis, MN 55413-1637

Mailing address

1121 Jackson St NE Ste 130
Minneapolis, MN 55413-1637
Phone (612) 741-2736

Other identifiers 2

IdentifierTypeStateIssuer
111T5POOtherMNBCBS PROVIDER NUMBER
451804700MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050516000171 MN Practitioner - Chiropractic 0749221257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Art District Chiropractic LLCGroup PAC ID 2668643735, 2 clinicians

Practice addresses (Care Compare)

1121 Jackson St NE
Suite 130
Minneapolis, MN 55413-1637
Phone (612) 741-2736

208 13TH Ave NE
Minneapolis, MN 55413-4598

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Art District Chiropractic, LLC CurrentSince Jul 5, 2011 Accepting new patients

Locations

208 13th Ave NE
Minneapolis, MN 55413
Phone (612) 252-0380

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1457485575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 JACKSON ST NE STE 130",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131637",
            "telephone_number": "612-741-2736",
            "fax_number": "612-252-0379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 JACKSON ST NE STE 130",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131637",
            "telephone_number": "612-741-2736",
            "fax_number": "612-252-0379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "LORI",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MN",
            "license": "4083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "111T5PO",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "451804700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.