Active NPI
John E Olsen, P.T. M.S.
- Physical Therapist
- Green Valley, AZ
National Provider Identifier
1528016193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5733
- Practice address
- 155 W Duval Rd
Green Valley, AZ 85614 - Phone
- (520) 648-3132
- Fax
- (520) 648-1861
- NPI assigned
- May 5, 2006
- Last updated
- May 2, 2019
- 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 | 5733 | AZ | Primary |
Addresses
Primary practice location
155 W Duval Rd
Green Valley, AZ 85614
Mailing address
155 W Duval Rd
Green Valley, AZ 85614
Phone (520) 648-3132
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Minnesota Medical School, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
155 W Duval Rd
Green Valley, AZ 85614-4207
Phone (520) 648-3132
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.12 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 87.08
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5733 | AZ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progressive Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Polaris Physical Therapy P.C. | Past | Accepting new patients |
Locations
155 W Duval Rd
Green Valley, AZ 85614
Phone (520) 648-3132
Organizations & group practices 2
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.
-
- Physical Therapist
- Green Valley, AZ
- NPI 1215995493
-
- Orthopedic Physical Therapist
- Tucson, AZ
- NPI 1184628562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556755200000",
"number": "1528016193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 W DUVAL RD",
"city": "GREEN VALLEY",
"state": "AZ",
"postal_code": "85614",
"telephone_number": "520-648-3132",
"fax_number": "520-648-1861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 W DUVAL RD",
"city": "GREEN VALLEY",
"state": "AZ",
"postal_code": "85614",
"telephone_number": "520-648-3132",
"fax_number": "520-648-1861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSEN",
"first_name": "JOHN",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "P.T. M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2019-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "5733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Green Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.