Individual provider Active NPI

Ulrik John Olsson, PT MTC

  • Physical Therapist
  • Grand Junction, CO
National Provider Identifier
1508921735
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4462 Issued in CO
Practice address
403 Kennedy Ave
Ste 3
Grand Junction, CO 81501-7555
Phone
(970) 256-0868
Fax
(970) 255-0469
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4462 CO Primary

Addresses

Primary practice location

403 Kennedy Ave
Ste 3
Grand Junction, CO 81501-7555

Mailing address

403 Kennedy Ave
Ste 3
Grand Junction, CO 81501-7555
Phone (970) 256-0868

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
4462COMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1508921735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 KENNEDY AVE",
            "address_2": "STE 3",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815017555",
            "telephone_number": "970-256-0868",
            "fax_number": "970-255-0469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 KENNEDY AVE",
            "address_2": "STE 3",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815017555",
            "telephone_number": "970-256-0868",
            "fax_number": "970-255-0469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSSON",
        "first_name": "ULRIK",
        "middle_name": "JOHN",
        "credential": "PT MTC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "4462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.