Individual provider Active NPI

Andrea M Olson, OTR

  • Occupational Therapist
  • Fitchburg, WI
National Provider Identifier
1528324860
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5156-26 Issued in WI
Practice address
2995 Sub Zero Pkwy
Fitchburg, WI 53719-8801
Phone
(608) 819-6394
NPI assigned
Apr 11, 2012
Last updated
Dec 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5156-26 WI Primary

Addresses

Primary practice location

2995 Sub Zero Pkwy
Fitchburg, WI 53719-8801

Mailing address

211 S Whitney Way
Madison, WI 53705-4605

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

LicenseStateTypeSpecialty
5156-26WIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Communication Innovations, LLC CurrentSince Dec 15, 2024 Accepting new patients
Communication Innovations, Inc PastSince Mar 5, 2023 Accepting new patients

Locations

2995 Sub Zero Pkwy
Fitchburg, WI 53719
Phone (608) 556-2433

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.

NPI Registry JSON

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1528324860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 S WHITNEY WAY",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537054605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2995 SUB ZERO PKWY",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537198801",
            "telephone_number": "608-819-6394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "ANDREA",
        "middle_name": "M",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-11",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "5156-26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.