Individual provider Active NPI

Lauren Kloepfer Olsen, DPT

  • Physical Therapist
  • Slidell, LA
National Provider Identifier
1477901569
Registry record updated Sep 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
09292R Issued in LA
Practice address
770 Gause Blvd Ste F
Slidell, LA 70458-2855
Phone
(985) 649-9123
Fax
(985) 649-9129
NPI assigned
May 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT60539792 WA
Physical Therapist 225100000X PT3850 HI
Physical Therapist 225100000X 09292R LA Primary

Addresses

Primary practice location

770 Gause Blvd Ste F
Slidell, LA 70458-2855

Mailing address

770 Gause Blvd Ste F
Slidell, LA 70458-2855
Phone (985) 649-9123

Other practice location 1

1550 Ochsner Blvd
Covington, LA 70433-8192
Phone (985) 893-4700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160719000182 LA Practitioner - Physical Therapist in Private Practice 8426341157 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverbend Physical Therapy LLCGroup PAC ID 3173885472, 9 clinicians

Practice addresses (Care Compare)

9605 Jefferson Hwy
Suite F
River Ridge, LA 70123-2550
Phone (504) 603-6044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT3850HIMDPhysical Therapist
PT60539792WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Physical Therapy Services LLC Physical Therapist CurrentSince Jun 27, 2016 Accepting new patients
Riverbend Physical Therapy, LLC Physical Therapist CurrentSince Feb 24, 2023 Accepting new patients
Rehab Access LLC Physical Therapist Past Accepting new patients
Dynamic Physical Therapy Services PC Physical Therapist Past Accepting new patients
Pelican State Physical Therapy Limited Partnership Physical Therapist PastSince Aug 6, 2019 Accepting new patients
Dr Brad W Lebert MD LLC PastSince Oct 22, 2023 Accepting new patients
Pelican State Physical Therapy Limited Partnership PastSince Aug 6, 2019 Accepting new patients
Comprehensive Therapy Clinics of Louisiana Physical Therapist PastSince Sep 5, 2023 Accepting new patients

Locations

900 Woodland Hwy
Ste 201
Belle Chasse, LA 70037

2033 N Highway 190
Ste 10
Covington, LA 70433
Phone (985) 317-3335

70493 Highway 21
Ste 600
Covington, LA 70433
Phone (985) 317-3335

653 Myrtle Dr
Covington, LA 70433
Phone (985) 893-4700

1550 Ochsner Blvd
Covington, LA 70433
Phone (985) 327-1987

7520 Westbank Expy
Ste D
Marrero, LA 70072
Phone (504) 371-4226

3409 Division St
Ste 202
Metairie, LA 70002
Phone (504) 603-6044

9605 Jefferson Hwy
Ste I
River Ridge, LA 70123
Phone (504) 603-6044

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1464566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568332800000",
    "number": "1477901569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 GAUSE BLVD STE F",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582855",
            "telephone_number": "985-649-9123",
            "fax_number": "985-649-9129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 GAUSE BLVD STE F",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582855",
            "telephone_number": "985-649-9123",
            "fax_number": "985-649-9129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1550 Ochsner Blvd",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "LA",
            "postal_code": "704338192",
            "country_code": "US",
            "telephone_number": "985-893-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "LAUREN",
        "middle_name": "KLOEPFER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-30",
        "last_updated": "2019-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60539792",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT3850",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "09292R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; 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.