Active NPI
Lisa Michelle Wilhelm-Olsen, P.T.
- Physical Therapist
- Powell, OH
National Provider Identifier
1679803019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 011765
- Practice address
- 3976 N Hampton Dr
Powell, OH 43065-8443 - Phone
- (888) 907-2667
- NPI assigned
- Jan 7, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 011765 | OH | Primary |
Addresses
Primary practice location
3976 N Hampton Dr
Powell, OH 43065-8443
Mailing address
216 E 6TH St
Newport, KY 41071-1934
Phone (513) 262-1793
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 |
|---|---|---|---|
| 011765 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Workers Choice Health Services | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Powell, OH
- NPI 1659593705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262822400000",
"number": "1679803019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 E 6TH ST",
"city": "NEWPORT",
"state": "KY",
"postal_code": "410711934",
"telephone_number": "513-262-1793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3976 N HAMPTON DR",
"city": "POWELL",
"state": "OH",
"postal_code": "430658443",
"telephone_number": "888-907-2667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILHELM-OLSEN",
"first_name": "LISA",
"middle_name": "MICHELLE",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-07",
"last_updated": "2010-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "011765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Powell, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.