Pandy M. Olmstead

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

153 E Laurel Ave
#203
Lake Forest, IL 60045-5407

Phone

(847) 528-9880

Fax

(847) 735-9611

NPI assigned

Jun 27, 2007

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

Other names 1

• Ms. Pandy M. Olmstead Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619174471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 N WESTERN AVE",
            "address_2": "#319",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451820",
            "telephone_number": "847-528-9880",
            "fax_number": "847-735-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 E LAUREL AVE",
            "address_2": "#203",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600455407",
            "telephone_number": "847-528-9880",
            "fax_number": "847-735-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLMSTEAD",
        "first_name": "PANDY",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PANDY",
            "last_name": "OLMSTEAD",
            "middle_name": "M.",
            "prefix": "MS.",
            "credential": "MASSAGE THERAPIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Shannon O'Reilly
• OB-Gyne Associates of Lake Forest, LTD.
• Chibogu Victoria Obianwu, PMHNP-BC
• Elizabeth E Oh, M.D.
• Hannah Olenec
• Hina Omar, MD
• Archie Lim Ong, M.D.
• Patrick Onkka, M.D.
• Alexys Marie Opel, LCSW
• Jamie Beth Orlins, MS, RD, LDN

• Massage Therapist in Lake Forest, IL
• Providers in Lake Forest, IL by specialty
• Massage Therapist in Illinois

• 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.