Individual provider Active NPI

Bonna Olson, PT

  • Physical Therapist
  • Edina, MN
National Provider Identifier
1689635047
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2304 Issued in MN
Practice address
4010 W 65TH St
Suite 105
Edina, MN 55435-1721
Phone
(952) 285-2840
Fax
(952) 285-2830
NPI assigned
Mar 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 2304 MN Primary

Addresses

Primary practice location

4010 W 65TH St
Suite 105
Edina, MN 55435-1721

Mailing address

4221 Xerxes Ave S
Minneapolis, MN 55410-1412

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

LicenseStateTypeSpecialty
2304MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Capernaum Pediatric Therapy, Inc. CurrentSince Feb 16, 2020 Accepting new patients
Capernaum Pediatric Therapy, Inc. Current Accepting new patients

Locations

6625 Lyndale Ave S
Ste 430
Richfield, MN 55423
Phone (952) 285-2840

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1689635047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 XERXES AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554101412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 W 65TH ST",
            "address_2": "SUITE 105",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351721",
            "telephone_number": "952-285-2840",
            "fax_number": "952-285-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "BONNA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "2304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.