Individual provider Active NPI

Christine Enderle-Olson

  • Physical Therapist
  • Walpole, MA
National Provider Identifier
1629236419
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15487 Issued in MA
Practice address
160 Main St
Walpole, MA 02081-4037
Phone
(508) 505-9513
NPI assigned
May 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 15487 MA Primary

Addresses

Primary practice location

160 Main St
Walpole, MA 02081-4037

Mailing address

160 Main St
Walpole, MA 02081-4037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180921000272 MA Practitioner - Physical Therapist in Private Practice 8224389879 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

110 Cedar St
Wellesley, MA 02481-3527

143 Chardonnay Dr
East Quogue, NY 11942-3829

160 Main St
Walpole, MA 02081-4037

7 Clyde Rd
Somerset, NJ 08873-5049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Connections Physical Therapy Inc Physical Therapist CurrentSince Jul 25, 2018 Accepting new patients
Fox Rehab Ma LLC Physical Therapist CurrentSince Feb 1, 2023 Accepting new patients
Connections Physical Therapy Inc Physical Therapist PastSince Apr 6, 2021 Accepting new patients

Locations

406R Washington St
Holliston, MA 01746
Phone (508) 429-4940

303 Wyman St
Ste 300
Waltham, MA 02451
Phone (781) 330-0577

110 Cedar St
Ste 100
Wellesley Hills, MA 02481
Phone (617) 921-4336

110 Cedar St
Wellesley Hills, MA 02481
Phone (781) 237-1769

Organizations & group practices 3

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": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211932800000",
    "number": "1629236419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 MAIN ST",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020814037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 MAIN ST",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020814037",
            "telephone_number": "508-505-9513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDERLE-OLSON",
        "first_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-28",
        "last_updated": "2008-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "15487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walpole, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; 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.