Individual provider Active NPI

Loree A Olson, PT

  • Physical Therapist
  • Roseville, CA
National Provider Identifier
1710529177
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
297654 Issued in CA
Practice address
10015 Foothills Blvd # 130
Roseville, CA 95747-7101
Phone
(916) 905-6378
NPI assigned
Oct 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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 297654 CA Primary

Addresses

Primary practice location

10015 Foothills Blvd # 130
Roseville, CA 95747-7101

Mailing address

4990 Hillsdale Cir Ste 100
El Dorado Hills, CA 95762-5770
Phone (916) 905-6378

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191216001240 CA Practitioner - Physical Therapist in Private Practice 7810321312 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Mikla Dunning Physical Therapy Systems PCGroup PAC ID 0941592067, 31 clinicians

Practice addresses (Care Compare)

10015 Foothills Blvd
Suite 130
Roseville, CA 95747-7101
Phone (916) 905-6378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Bear Physical Therapy Sports Injury Center, Inc Physical Therapist CurrentSince Nov 4, 2019 Accepting new patients
Mikla Dunning Physical Therapy Systems, PC CurrentSince Oct 31, 2022 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Apr 5, 2022 Accepting new patients
Sutter Gould Medical Foundation PastSince Oct 1, 2019 Accepting new patients
Burger Physical Therapy and Rehabilitation Agency Inc Past Accepting new patients
Gold Country Therapies, Inc PastSince Jan 1, 2015 Accepting new patients
Kime Performance Nevada LLC PastSince Dec 6, 2022 Accepting new patients

Locations

4990 Hillsdale Cir
Ste 100
El Dorado Hls, CA 95762
Phone (916) 342-4190

210 W Pine St
Lodi, CA 95240
Phone (209) 365-7867

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

1335 Coffee Rd
Ste 200
Modesto, CA 95355
Phone (209) 576-1946

1222 W Colony Rd
Ste 130
Ripon, CA 95366
Phone (209) 624-1288

10015 Foothills Blvd
Roseville, CA 95747

10015 Foothills Blvd
#130
Roseville, CA 95747

10015 Foothills Blvd
Ste 130
Roseville, CA 95747

1906 Vista del Lago Dr
Ste A
Valley Springs, CA 95252
Phone (209) 772-0848

Organizations & group practices 7

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": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1710529177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4990 HILLSDALE CIR STE 100",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957625770",
            "telephone_number": "916-905-6378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10015 FOOTHILLS BLVD # 130",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957477101",
            "telephone_number": "916-905-6378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "LOREE",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "297654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.