Michelle Marie Nolan-Olmsted, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2955-024 Issued in WI

Practice address

516 S Wisconsin Dr
Howards Grove, WI 53083-1261

Phone

(920) 565-5391

Fax

(920) 565-5391

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1548347388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 SUPERIOR AVE",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530811861",
            "telephone_number": "920-208-3557",
            "fax_number": "920-208-3527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 S WISCONSIN DR",
            "city": "HOWARDS GROVE",
            "state": "WI",
            "postal_code": "530831261",
            "telephone_number": "920-565-5391",
            "fax_number": "920-565-5391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLAN-OLMSTED",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "2955-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7867763",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40087400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Makayla Kaytlynn Kulow, DC
• Kelly Kunesh
• Steven Robert Lindstrom, DDS
• Darya McDaniel, O.D.
• Mary Lou None Neuman
• Amy Marie O'Connor, RN, BSN, PMH-BC
• Lydia Lorraine Pomeroy, RN BSN
• David John Portmann, D.C.
• Robert J Remington, MD
• Henry David Rossi III, D.D.S.

• Physical Therapist in Howards Grove, WI
• Providers in Howards Grove, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.