Kimberly Diane Olson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

692 Issued in ND

Practice address

1425 S Columbia Rd
Grand Forks, ND 58201-4039

Phone

(701) 746-8374

Fax

(701) 780-0885

NPI assigned

Oct 27, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Practice roles

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.

• Life Skills and Transition Center

  • Community/Behavioral Health Agency
  • Grafton, ND
  • NPI 1023751971
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609952365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 S COLUMBIA RD",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014039",
            "telephone_number": "701-746-8374",
            "fax_number": "701-780-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 S COLUMBIA RD",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014039",
            "telephone_number": "701-746-8374",
            "fax_number": "701-780-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "KIMBERLY",
        "middle_name": "DIANE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ND COLUMBIA RD",
            "identifier": "28642",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ND DEMERS",
            "identifier": "26843",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janelle Lea Olson, LRD CDE
• Jeffrey Olson, RNFA, CNOR, RN, BSN
• Jessica Olson, PSYCHOLOGY
• Joann J Olson, LICSW
• Kayla L Olson, PA-C
• Kristie Olson
• Laura Olson
• Neil I Olson, LAC
• Robert A Olson, D.D.S.
• Shawn Phillip Olson, MD

• Physical Therapist in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Physical Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.