Active NPI
Gary W. Olson, PT
- Physical Therapist
- Seattle, WA
National Provider Identifier
1508961632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00003842
- Practice address
- 325 9TH Ave
Box 359827
Seattle, WA 98104-2420 - Phone
- (206) 731-3000
- NPI assigned
- Sep 13, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT00003842 | WA | |
| Physical Therapist | 225100000X | PT00003842 | WA | Primary |
Addresses
Primary practice location
325 9TH Ave
Box 359827
Seattle, WA 98104-2420
Mailing address
325 9TH Ave
Box 359750
Seattle, WA 98104-2420
Phone (206) 744-9888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88724U | Other | WA | REGENCE BLUE SHIELD PIN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gwo@uw.edu | Direct |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00003842 | WA | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698105600000",
"number": "1508961632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 9TH AVE",
"address_2": "BOX 359750",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981042420",
"telephone_number": "206-744-9888",
"fax_number": "206-744-9773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 9TH AVE",
"address_2": "BOX 359827",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981042420",
"telephone_number": "206-731-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "GARY",
"middle_name": "W.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2023-10-24",
"certification_date": "2023-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "WA",
"license": "PT00003842",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00003842",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD PIN",
"identifier": "88724U",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gwo@uw.edu",
"affiliation": "N",
"endpointDescription": "Email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "325 9th Ave",
"address_2": "Box 359827",
"city": "Seattle",
"state": "WA",
"country_code": "US",
"postal_code": "981042420",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.