Nicole Marie Olenchek, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4761-024 Issued in WI

Practice address

W143N5009 Brook Falls Dr
Menomonee Falls, WI 53051-6987

Phone

(262) 781-8352

NPI assigned

Oct 9, 2007

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 names 1

• Nicole Bott Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lessila Physical Therapy, LLC

  • Physical Therapist
  • Brookfield, WI
  • NPI 1811029838
  NPD (past)
• Orthopaedic Hospital of Wisconsin, LLC

  • General Acute Care Hospital
  • Glendale, WI
  • NPI 1669584983
  NPD (past)

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317340800000",
    "number": "1457549966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17700 WEST CAPITOL DRIVE",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "53045",
            "telephone_number": "262-781-3083",
            "fax_number": "262-781-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W143N5009 BROOK FALLS DR",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530516987",
            "telephone_number": "262-781-8352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLENCHEK",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2011-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "4761-024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "BOTT",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jill O'Lena, RN
• Kerry M O'Mahar, PHD
• Diane Marie Oddis, RPH
• Jinny Oh, D.O.
• Mayowa Olalekan, MD
• Rebecca E Oliver, RN, BSN
• Ashley M Olson, NP
• Leslie Olson, PHARMD
• Sea Kan Ong, RPH
• Opahle Ventures Inc

• Physical Therapist in Menomonee Falls, WI
• Providers in Menomonee Falls, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; 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.