Individual provider Active NPI

Sophia Olson, DPT

  • Physical Therapist
  • St Louis Park, MN
National Provider Identifier
1629809652
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13654 Issued in MN
Practice address
5050 W 36TH St Ste 100
St Louis Park, MN 55416-5470
Phone
(952) 925-4085
NPI assigned
Aug 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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 13654 MN Primary

Addresses

Primary practice location

5050 W 36TH St Ste 100
St Louis Park, MN 55416-5470

Mailing address

7594 Oak Hill Rd
Woodbury, MN 55129-4415
Phone (651) 295-7751

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251229001776 GA Practitioner - Physical Therapist in Private Practice 5698214252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Esop Rehabilitation LLCGroup PAC ID 9739305749, 224 clinicians

Practice addresses (Care Compare)

11242 Cumming Hwy
Suite 105
Canton, GA 30115-8155
Phone (770) 720-7156

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Esop Rehabilitation, LLC Physical Therapist CurrentSince Nov 12, 2025 Accepting new patients
Esop Rehabilitation, LLC Physical Therapist CurrentSince Nov 12, 2025 Accepting new patients

Locations

11242 Cumming Hwy
Ste 105
Canton, GA 30115
Phone (770) 720-7156

875 Flat Shoals Rd SE
Ste 150
Conyers, GA 30094
Phone (770) 785-7669

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": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1629809652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7594 OAK HILL RD",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551294415",
            "telephone_number": "651-295-7751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 W 36TH ST STE 100",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554165470",
            "telephone_number": "952-925-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "SOPHIA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "13654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.