Ryan Olson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13624 - 24 Issued in WI

Practice address

1266 W Main St
Sun Prairie, WI 53590-1918

Phone

(608) 318-1357

NPI assigned

Oct 14, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Capitol Physical Therapy Specialists LLCGroup PAC ID 4981931466, 24 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.

• Capitol Physical Therapy Specialists LLC

  • Physical Therapy Clinic/Center
  • Verona, WI
  • NPI 1184286932

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Associated Physicians, LLP

  • Internal Medicine Physician
  • Madison, WI
  • NPI 1861412785

  Physical Therapist

  Medicare reassignment NPD
• Capitol Physical Therapy LLC

  • Physical Therapist
  • Verona, WI
  • NPI 1104846542
  NPD (past)

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1629529623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 720908",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730704708",
            "telephone_number": "405-809-8713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1266 W MAIN ST",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535901918",
            "telephone_number": "608-318-1357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "RYAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-14",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070022391",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "13624 - 24",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL PT LICENSE",
            "identifier": "070022391",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WI PT LICENSE",
            "identifier": "13624 - 24",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oak Tree Counseling
• Corey Ann Ohlson-Rappe, MA, BCBA
• Beatrice Obiageli Okpala, RN, BSC OPTOMETRY
• Kelsie Olono, APSW
• Mark Olsen, DDS
• Bryce Opps, DMD
• Cheryl Ordens, RN
• Aidan L. Osborne, SLP
• Kathleen Lousie Packard, LPN
• Kevin Chanil Park, M.D.

• Physical Therapist in Sun Prairie, WI
• Providers in Sun Prairie, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.