Active NPI
Zackery Olson, DPT
- Physical Therapist
- Sioux City, IA
National Provider Identifier
1467050088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2230
- Practice address
- 3100 S Lakeport St
Sioux City, IA 51106-4222 - Phone
- (712) 277-4442
- NPI assigned
- Oct 15, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2230 | SD | Primary |
Addresses
Primary practice location
3100 S Lakeport St
Sioux City, IA 51106-4222
Mailing address
3100 S Lakeport St
Sioux City, IA 51106-4222
Phone (712) 277-4442
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2230 | SD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602720000000",
"number": "1467050088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 S LAKEPORT ST",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511064222",
"telephone_number": "712-277-4442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 S LAKEPORT ST",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511064222",
"telephone_number": "712-277-4442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "ZACKERY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-15",
"last_updated": "2020-10-15",
"certification_date": "2020-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SD",
"license": "2230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sioux City, IA
- Vanessa B Ogundipe, MD
- Megan Marie Ohlendorf, TCADC
- Albert Okine, PA-C., M.S.P.A.S.
- Alisa M Olson, D.O.
- Gregory T Olson, D.O.
- Nicholas Xavier Olund, PHARMD
- Dena Z Olwan, PHD
- Diana C Opara, RN
- Opco 19TH St. Sioux City, Ia, LLC (Casa De Paz Health Care Center)
- Opco Sioux City, Ia, LLC (Countryside Health Care Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.