Gary Olson, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

XO9393-1 Issued in NY

Practice address

285 Commack Rd
Suite 10
Commack, NY 11725-3403

Phone

(631) 462-0917

Fax

(631) 462-1038

NPI assigned

Oct 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Alvizo Physical Therapy P.C.

  • Physical Therapist
  • Bellmore, NY
  • NPI 1114030780
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1659454536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 COMMACK RD",
            "address_2": "SUITE 10",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253403",
            "telephone_number": "631-462-0917",
            "fax_number": "631-462-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 COMMACK RD",
            "address_2": "SUITE 10",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253403",
            "telephone_number": "631-462-0917",
            "fax_number": "631-462-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "XO9393-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "5897489",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS BLUE SH",
            "identifier": "X7S551",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary E O'Donnell, R.PH.
• Deanna O'Hanlon, MT
• Glenn O'Kane
• Juliann M O'Leary, LMHC
• Lara Meredith O'Rourke
• Onyx Medical Practitioner P.C.
• Eleanore Ophals
• Optimeyes, Inc.
• Orel Psychological Services, PC
• Sarah B Orlando, LMSW

• Chiropractor in Commack, NY
• Providers in Commack, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.