Individual provider Active NPI

Olivia S Honan, PT, DPT

  • Physical Therapist
  • Lansing, MI
National Provider Identifier
1770356206
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501302991 Issued in MI
Practice address
6209 W Saginaw Hwy Ste a&B
Lansing, MI 48917-2491
Phone
(800) 974-4378
Fax
(630) 515-1536
NPI assigned
Nov 6, 2023
Last updated
Nov 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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 5501302991 MI Primary

Addresses

Primary practice location

6209 W Saginaw Hwy Ste a&B
Lansing, MI 48917-2491

Mailing address

24014 W Renwick Rd Unit 206
Plainfield, IL 60544-8711
Phone (800) 974-4378

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231109001125 MI Practitioner - Physical Therapist in Private Practice 8022465210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peak Performance Physical Therapy PLCGroup PAC ID 2769660521, 25 clinicians

Practice addresses (Care Compare)

13105 Schavey Rd
Suite 5
Dewitt, MI 48820-9014
Phone (517) 853-6800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501302991MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Performance Physical Therapy, PLC Physical Therapist CurrentSince Oct 7, 2024 Accepting new patients
DPT Holdings LLC CurrentSince Nov 12, 2023 Accepting new patients
DPT Holdings LLC CurrentSince Nov 3, 2023 Accepting new patients
Ryan and Monica Wohlfert, PC CurrentSince Oct 7, 2024 Accepting new patients

Locations

24014 W Renwick Rd
Ste 206
Plainfield, IL 60544

13105 Schavey Rd
Ste 5
Dewitt, MI 48820
Phone (517) 669-4233

2520 E Jolly Rd
Ste C
Lansing, MI 48910
Phone (517) 306-4919

6209 W Saginaw Hwy
Ste Ab
Lansing, MI 48917

7402 Westshire Dr
Ste 105
Lansing, MI 48917
Phone (517) 927-8718

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1770356206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24014 W RENWICK RD UNIT 206",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605448711",
            "telephone_number": "800-974-4378",
            "fax_number": "630-515-1536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6209 W SAGINAW HWY STE A&B",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489172491",
            "telephone_number": "800-974-4378",
            "fax_number": "630-515-1536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONAN",
        "first_name": "OLIVIA",
        "middle_name": "S",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501302991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.