Paulette Olson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

7128 Issued in AZ

Practice address

1617 S 67TH Ave
Phoenix, AZ 85043-7717

Phone

(623) 707-2251

NPI assigned

May 17, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Fowler Elementary School District

  • Local Education Agency (LEA)
  • Phoenix, AZ
  • NPI 1043438781
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538376355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38462 410TH ST",
            "city": "HERON LAKE",
            "state": "MN",
            "postal_code": "561372024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 S 67TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850437717",
            "telephone_number": "623-707-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "PAULETTE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "7128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loyd B Olson III, M.D.
• Marie Olson, LAC, BHP
• Matthew Roger Olson, DO
• Melissa Beth Olson
• Micah L Olson, MD
• Samantha Olson, OTR
• Sharon Ann Olson, IBCLC
• Shelby Olson, DDS
• Kassidy Olsson
• Simon Olstein, MD

• Physical Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physical Therapist in Arizona

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.