Active NPI
Steven Olsommer, DPT
- Physical Therapist
- Greer, SC
National Provider Identifier
1659030823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9264
- Practice address
- 1305 Boiling Springs Rd
Greer, SC 29650-4139 - Phone
- (864) 458-7566
- NPI assigned
- Dec 14, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9264 | SC | Primary |
Addresses
Primary practice location
1305 Boiling Springs Rd
Greer, SC 29650-4139
Mailing address
11 Bentley Way
Greer, SC 29650-3682
Phone (678) 414-4830
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 |
|---|---|---|---|
| 9264 | SC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639440000000",
"number": "1659030823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 BENTLEY WAY",
"city": "GREER",
"state": "SC",
"postal_code": "296503682",
"telephone_number": "678-414-4830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 BOILING SPRINGS RD",
"city": "GREER",
"state": "SC",
"postal_code": "296504139",
"telephone_number": "864-458-7566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSOMMER",
"first_name": "STEVEN",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-12-14",
"last_updated": "2021-12-14",
"certification_date": "2021-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "SC",
"license": "9264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greer, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.