Individual provider Active NPI

Sarah Olson

  • Physical Therapist
  • Big Bend, WI
National Provider Identifier
1497123483
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
S71W23325 National Ave
Big Bend, WI 53103-9495
Phone
(262) 662-9775
Fax
(262) 662-9773
NPI assigned
Sep 8, 2015
Last updated
Feb 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 13128-24 WI
Physical Therapist 225100000X WI Primary

Addresses

Primary practice location

S71W23325 National Ave
Big Bend, WI 53103-9495

Mailing address

6520 W Layton Ave
Suite 101
Greenfield, WI 53220-4572
Phone (414) 858-1360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13128-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Catalyst Wellness LLC CurrentSince Dec 8, 2016 Accepting new patients
Big Bend Vernon Releif & Wellness SC CurrentSince Dec 8, 2016 Accepting new patients
Orthopaedic Hospital of Wisconsin, LLC Past Accepting new patients

Locations

S71W23325 National Ave
Ste 5
Big Bend, WI 53103
Phone 26236100231

Organizations & group practices 3

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": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1497123483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6520 W LAYTON AVE",
            "address_2": "SUITE 101",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532204572",
            "telephone_number": "414-858-1360",
            "fax_number": "414-858-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S71W23325 NATIONAL AVE",
            "city": "BIG BEND",
            "state": "WI",
            "postal_code": "531039495",
            "telephone_number": "262-662-9775",
            "fax_number": "262-662-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-08",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "13128-24",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Bend, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.