Individual provider Active NPI

Christine Ann Olson, MS PT

  • Physical Therapist
  • Atlanta, GA
National Provider Identifier
1467530691
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
007394 Issued in GA
Practice address
555 10TH Street NW
Atlanta, GA 30318-5713
Phone
(404) 477-8888
Fax
(404) 477-8889
NPI assigned
Nov 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 007394 GA Primary

Addresses

Primary practice location

555 10TH Street NW
Atlanta, GA 30318-5713

Mailing address

1153 Shepherds LN NE
Atlanta, GA 30324-4613
Phone (706) 224-3852

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040720000842 GA Practitioner - Physical Therapist in Private Practice 7911986104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Sports Rehabilitation CenterGroup PAC ID 0648177485, 7 clinicians

Practice addresses (Care Compare)

555 10TH St NW
Atlanta, GA 30318-5713
Phone (404) 477-8888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
007394GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Sports Rehabilitation Center CurrentSince Apr 26, 2004 Accepting new patients

Locations

555 10th St NW
Atlanta, GA 30318
Phone (404) 477-8888

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467530691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 SHEPHERDS LN NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303244613",
            "telephone_number": "706-224-3852",
            "fax_number": "404-477-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 10TH STREET NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303185713",
            "telephone_number": "404-477-8888",
            "fax_number": "404-477-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "CHRISTINE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MS PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "007394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.