Active NPI
Emily A Olson, OTR/L
- Occupational Therapist
- South Windsor, CT
National Provider Identifier
1649817115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 005615
- Practice address
- 1645 Ellington Rd
South Windsor, CT 06074-2764 - Phone
- (860) 788-5515
- NPI assigned
- Dec 4, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Occupational Therapist | 225X00000X | 005615 | CT | Primary |
Addresses
Primary practice location
1645 Ellington Rd
South Windsor, CT 06074-2764
Mailing address
1645 Ellington Rd
South Windsor, CT 06074-2764
Phone (860) 788-5515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005615 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743638400000",
"number": "1649817115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1645 ELLINGTON RD",
"city": "SOUTH WINDSOR",
"state": "CT",
"postal_code": "060742764",
"telephone_number": "860-788-5515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1645 ELLINGTON RD",
"city": "SOUTH WINDSOR",
"state": "CT",
"postal_code": "060742764",
"telephone_number": "860-788-5515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "EMILY",
"middle_name": "A",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-04",
"last_updated": "2025-04-03",
"certification_date": "2025-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "005615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Windsor, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.