Individual provider Active NPI

Mark W Olson, MPT

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1467630970
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7080 Issued in CO
Practice address
7222 Commerce Center Dr
Suite 100
Colorado Springs, CO 80919-2630
Phone
(719) 574-5562
Fax
(719) 471-0445
NPI assigned
Feb 6, 2008
Last updated
Feb 6, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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 7080 CO Primary

Addresses

Primary practice location

7222 Commerce Center Dr
Suite 100
Colorado Springs, CO 80919-2630

Mailing address

7222 Commerce Center Dr
Suite 100
Colorado Springs, CO 80919-2630
Phone (719) 574-5562

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050301000478 CO Practitioner - Physical Therapist in Private Practice 7719930098 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Luna Care Physical Therapy LLCGroup PAC ID 7517363617, 210 clinicians

Practice addresses (Care Compare)

Denver, CO 80246
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7080COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Jan 18, 2023 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Jan 18, 2023 Accepting new patients
Chuckies Place Physical Therapist CurrentSince Aug 4, 2019 Accepting new patients
Rehab for All LLC Physical Therapist CurrentSince Jul 15, 2015 Accepting new patients
Colorado Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jan 18, 2023 Accepting new patients
Back Doc Two Inc. Past Accepting new patients
Chuckies Place PastSince Nov 10, 2019 Accepting new patients

Locations

500 Eldorado Blvd
Bldg 4
Broomfield, CO 80021
Phone (303) 812-4790

2285 Fremont Dr
Canon City, CO 81212
Phone (719) 249-3620

2005 Aeroplaza Dr
Colorado Springs, CO 80916

501 S Cherry St
Fl 11
Denver, CO 80246
Phone (309) 530-8782

13039 Falcon Hwy
Peyton, CO 80831
Phone (719) 209-3365

8550 W 38th Ave
Ste 100
Wheat Ridge, CO 80033
Phone (303) 467-4100

Organizations & group practices 8

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": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202256000000",
    "number": "1467630970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7222 COMMERCE CENTER DR",
            "address_2": "SUITE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809192630",
            "telephone_number": "719-574-5562",
            "fax_number": "719-471-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7222 COMMERCE CENTER DR",
            "address_2": "SUITE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809192630",
            "telephone_number": "719-574-5562",
            "fax_number": "719-471-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "MARK",
        "middle_name": "W",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "7080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.