Jennifer Lynn Olsen, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

023905 Issued in NY

Practice address

212 Brailsford St
Daniel Island, SC 29492-7459

Phone

(516) 662-9962

Fax

(800) 968-8969

NPI assigned

Dec 12, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Daniel Island Physical Therapy LLC

  • Physical Therapist
  • Daniel Island, SC
  • NPI 1578151619
  Authorized official Same address or phone
• Team Rehab Physical Therapy, P.C.

  • Physical Therapist
  • Daniel Island, SC
  • NPI 1659799625
  Authorized official Same address or phone
• Devine Physical Therapy, Acupuncture and Massage Therapy, PLLC

  • Multi-Specialty Clinic/Center
  • Fort Salonga, NY
  • NPI 1952830960
  Authorized official Same address or phone

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1477614808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 SEVEN FARMS DR.",
            "address_2": "STE. F, PMB 373",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "29492",
            "telephone_number": "516-662-9962",
            "fax_number": "800-968-8969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 BRAILSFORD ST",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294927459",
            "telephone_number": "516-662-9962",
            "fax_number": "800-968-8969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "023905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NVN Medical Services, LLC (Wound Healing and Hyperbaric Medicine)
• Meghan Nyers, APRN/LPC
• O'Neill Plastic Surgery, PA
• Patrick O'Neill, MD
• Occupational Teletherapy
• Lauren Olson
• Paige Pediatric Physical Therapy
• Palmetto Pharmaceutical Care
• Palmetto Primary Care Physicians, LLC
• Ravi Bhupen Patel, DMD

• Physical Therapist in Daniel Island, SC
• Providers in Daniel Island, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.

Verify at the official NPI Registry.