Eric Olson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1872-19 Issued in WI

Practice address

614 S Rock Ave
Viroqua, WI 54665-1936

Phone

(608) 637-2171

NPI assigned

May 3, 2018

Last updated

Sep 16, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1770072928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N1668 SERVAIS COLLERN RD",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546012633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 S ROCK AVE",
            "city": "VIROQUA",
            "state": "WI",
            "postal_code": "546651936",
            "telephone_number": "608-637-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "ERIC",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-03",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "1872-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arnold H Nomann, CRNA
• Northland Hearing Centers, Inc. (Better Hearing Centre)
• Kassi Evelyn Olerud, MS/OTR
• Alice Ann Olson
• Daniel Olson, MASSAGE THERAPIST
• Lorna Olson, COTA
• Sarah Lynn Olson, PTA/LAT
• Keren Orr, LMT
• Advije Osmani
• Cynthia Ann Ostrem, MS, RCEP, CES

• Physical Therapy Assistant in Viroqua, WI
• Providers in Viroqua, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.