Kristian Olson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8821 Issued in MN

Practice address

4625 Churchill St
Suite 204
Shoreview, MN 55126-5868

Phone

(651) 484-6735

NPI assigned

Aug 17, 2011

Sex

Male

Sole proprietor

No

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

Enrolled in MN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Motioncare IncGroup PAC ID 6800884529, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Motioncare, Inc.

  • Physical Therapist
  • Shoreview, MN
  • NPI 1851486203
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1598045940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5985 RICE CREEK PKWY",
            "address_2": "STE 104",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551265036",
            "telephone_number": "651-484-6735",
            "fax_number": "651-484-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 CHURCHILL ST",
            "address_2": "SUITE 204",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551265868",
            "telephone_number": "651-484-6735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "KRISTIAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-17",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "8821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ohm, Inc.
• Taslim Mohamed Olad
• Godwin Lale Ollor
• Daniel Klayton Olson
• James Robert Olson Jr., PT ATC
• Fahat Omar
• Muna A Omer
• Mohamed Omsan
• Krista Ostertag
• Ann Simonsen Oswood, C.N.M.

• Physical Therapist in Shoreview, MN
• Providers in Shoreview, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.