Active NPI
Bryce Harvey Olson, PT
- Physical Therapist
- Lubbock, TX
National Provider Identifier
1508890609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1061984
- Practice address
- 25 Briercroft Office Park
Lubbock, TX 79412-3011 - Phone
- (806) 795-7433
- Fax
- (806) 795-7407
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1061984 | TX | Primary |
Addresses
Primary practice location
25 Briercroft Office Park
Lubbock, TX 79412-3011
Mailing address
25 Briercroft Office Park
Lubbock, TX 79412-3011
Phone (806) 795-7433
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6014 45TH St
Suite B
Lubbock, TX 79407-3772
Phone (806) 780-7433
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liberty Venture Group, LLC | Physical Therapist | Current | Accepting new patients |
| Pampa Orthopedics and Rehab, LP | Physical Therapist | Past | Accepting new patients |
| Physical Therapy Associates | Past | Accepting new patients |
Locations
6014 45th St
Unit B
Lubbock, TX 79407
Phone (806) 686-4444
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 and National Provider Directory roles.
-
- Physical Therapist
- Lubbock, TX
- NPI 1770888406
-
- Physical Therapist
- Lubbock, TX
- NPI 1386759561
-
- Specialist
- Huntsville, TX
- NPI 1659547107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508890609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 BRIERCROFT OFFICE PARK",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794123011",
"telephone_number": "806-795-7433",
"fax_number": "806-795-7407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 BRIERCROFT OFFICE PARK",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794123011",
"telephone_number": "806-795-7433",
"fax_number": "806-795-7407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "BRYCE",
"middle_name": "HARVEY",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1061984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.