Jackie Olson, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056.003504 Issued in IL

Practice address

2300 Congressional LN
Riverwoods, IL 60015-3806

Phone

(224) 515-9060

NPI assigned

Jan 11, 2012

Last updated

Jan 11, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

Practice roles

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.

• Kelly a. Donley & Associates L.L.C.

  dba I Can We Can

  • Occupational Therapist
  • Fortville, IN
  • NPI 1922308410
  NPD (past)

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1487924189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2836 BERMAN RD",
            "city": "NORTH AURORA",
            "state": "IL",
            "postal_code": "605422047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 CONGRESSIONAL LN",
            "city": "RIVERWOODS",
            "state": "IL",
            "postal_code": "600153806",
            "telephone_number": "224-515-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "JACKIE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.003504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Motionfit Il Physical Therapy PC
• Neurobehavioral Associates, P.C.
• Marcella Theresa Nunez, COTA
• Occupational Health Centers of Illinois
• Richard W Olsen, PTA
• Elzbieta M Pamula, PTA
• Satnam K Papa, M.D.
• Patzelt Psychology PLLC
• Edward Harold Patzelt, PHD
• Michael Peklin, D.D.S.

• Occupational Therapist in Riverwoods, IL
• Providers in Riverwoods, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.