Individual provider Active NPI

Nicole Adrianne Olney, PT, DPT

  • Physical Therapist
  • Camp Pendleton, CA
National Provider Identifier
1750994075
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
200 Mercy Circle
Camp Pendleton, CA 92055
Phone
(954) 732-8579
NPI assigned
Aug 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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 Primary

Addresses

Primary practice location

200 Mercy Circle
Camp Pendleton, CA 92055

Mailing address

PO Box 263
Bonsall, CA 92003-0263

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rebound Physical Therapy Limited Partnership Physical Therapist CurrentSince Nov 9, 2020 Accepting new patients
Physical Therapy Works, Inc Physical Therapist CurrentSince Apr 9, 2024 Accepting new patients
Physical Therapy Works, Inc Physical Therapist CurrentSince May 16, 2023 Accepting new patients
Rebound Physical Therapy Limited Partnership Physical Therapist CurrentSince Nov 9, 2020 Accepting new patients

Locations

2115 NE Wyatt Ct
Ste 103
Bend, OR 97701
Phone (541) 382-2070

1303 NE Cushing Dr
Ste 150
Bend, OR 97701
Phone (541) 382-7875

330 NE Marshall Ave
Bend, OR 97701
Phone (541) 383-8179

805 SW Industrial Way
Ste 3
Bend, OR 97702
Phone (541) 323-5864

1717 NE 2nd St
Redmond, OR 97756
Phone (541) 332-9045

Organizations & group practices 4

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": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1750994075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 263",
            "city": "BONSALL",
            "state": "CA",
            "postal_code": "920030263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MERCY CIRCLE",
            "city": "CAMP PENDLETON",
            "state": "CA",
            "postal_code": "92055",
            "telephone_number": "954-732-8579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLNEY",
        "first_name": "NICOLE",
        "middle_name": "ADRIANNE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Pendleton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.