Active NPI
Katie Olson Hilo, PT
- Pediatric Physical Therapist
- Brewer, ME
National Provider Identifier
1609921154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 3000
- Practice address
- 797 Wilson St
Brewer, ME 04412-1000 - Phone
- (207) 992-4042
- Fax
- (207) 992-4043
- NPI assigned
- Jan 24, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 17410 | MA | |
| Pediatric Physical Therapist | 2251P0200X | 3000 | ME | Primary |
Addresses
Primary practice location
797 Wilson St
Brewer, ME 04412-1000
Mailing address
797 Wilson St
Brewer, ME 04412-1000
Phone (207) 992-4042
Other names 1
- Katie L Olson
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17410 | MA | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Results Physical and Occupational Therapy | Pediatrics | Past | Accepting new patients |
| Back in Motion Physical Therapy, LLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321401600000",
"number": "1609921154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "797 WILSON ST",
"city": "BREWER",
"state": "ME",
"postal_code": "044121000",
"telephone_number": "207-992-4042",
"fax_number": "207-992-4043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "797 WILSON ST",
"city": "BREWER",
"state": "ME",
"postal_code": "044121000",
"telephone_number": "207-992-4042",
"fax_number": "207-992-4043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILO",
"first_name": "KATIE",
"middle_name": "OLSON",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-24",
"last_updated": "2011-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "MA",
"license": "17410",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "ME",
"license": "3000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATIE",
"last_name": "OLSON",
"middle_name": "L",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Brewer, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.