Individual provider Active NPI

Laura Olsonoski, OTD

  • Occupational Therapist
  • Missoula, MT
National Provider Identifier
1700268554
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTP-OT-LIC-3971 Issued in MT
Practice address
3031 S Russell St Ste B
Missoula, MT 59801-8523
Phone
(952) 356-6778
Fax
(406) 797-5008
NPI assigned
Jun 28, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OTP-OT-LIC-3971 MT Primary

Addresses

Primary practice location

3031 S Russell St Ste B
Missoula, MT 59801-8523

Mailing address

3031 S Russell St
Missoula, MT 59801-8523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171108003781 MT Practitioner - Occupational Therapist in Private Practice 8729344601 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3031 S Russell St
Suite B
Missoula, MT 59801-8523
Phone (406) 396-4130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTP-OT-LIC-3971MTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Moving Mountains Therapy Center, PLLC Occupational Therapist CurrentSince Oct 6, 2017 Accepting new patients
Eat Move Grow LLC Occupational Therapist CurrentSince Sep 1, 2017 Accepting new patients

Locations

3031 S Russell St
Ste B
Missoula, MT 59801
Phone (406) 396-4130

3031 S Russell St
Missoula, MT 59801
Phone (406) 549-0119

700 SW Higgins Ave
Ste 103
Missoula, MT 59803
Phone (406) 396-4130

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": "1435449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1700268554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 S RUSSELL ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598018523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 S RUSSELL ST STE B",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598018523",
            "telephone_number": "952-356-6778",
            "fax_number": "406-797-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSONOSKI",
        "first_name": "LAURA",
        "credential": "OTD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-28",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MT",
            "license": "OTP-OT-LIC-3971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.