Active NPI
Lynn Olejniczak, PT
- Physical Therapist
- Minneapolis, MN
National Provider Identifier
1578667259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4224
- Practice address
- 2600 39TH Ave NE
220
Minneapolis, MN 55421-4379 - Phone
- (612) 789-0417
- NPI assigned
- Sep 12, 2006
- Sex
- Female
- 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 | 4224 | MN | Primary |
Addresses
Primary practice location
2600 39TH Ave NE
220
Minneapolis, MN 55421-4379
Mailing address
368 McCarrons Blvd N
Roseville, MN 55113-6936
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267056000000",
"number": "1578667259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "368 MCCARRONS BLVD N",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551136936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 39TH AVE NE",
"address_2": "220",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554214379",
"telephone_number": "612-789-0417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLEJNICZAK",
"first_name": "LYNN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-12",
"last_updated": "2010-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "4224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.