Crystal Olson, LMT, MMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

20452 Issued in OR

Practice address

61270 Brookswood Blvd
Bend, OR 97702-2535

Phone

(541) 771-2490

NPI assigned

Aug 9, 2021

Last updated

Aug 9, 2021By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Innergized Movement Massage

  • Mechanotherapist
  • Bend, OR
  • NPI 1386004208
  Authorized official Same address or phone

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1548935869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 NE 3RD ST, SUIT 106",
            "address_2": "MB 170",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97701",
            "telephone_number": "541-771-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61270 BROOKSWOOD BLVD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977022535",
            "telephone_number": "541-771-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "CRYSTAL",
        "credential": "LMT, MMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "20452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Www.massagebook.com/Bend~Massage~crystal-olson",
            "affiliation": "N",
            "endpointDescription": "Scheduling/client file/SOAP note APP",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "61270 Brookswood Blvd",
            "city": "Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977022535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andrea Hope Olsen, CADC-I
• Keith Curtis Olsen, MD/PHD
• Kryzia Nicole Santos Olsen, ND, LAC
• Olson Chiropractic Wellness Center
• Amanda J Olson, M.S., CCC-SLP
• Scott Chambers Olson, M.D.
• Scott Vincent Olson, DC
• Richard Ombrembowski, PA
• Omhc, LLC (Oregon Man Clinics)
• Molly Omizo, MD

• Massage Therapist in Bend, OR
• Providers in Bend, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.