Todd Allen Oleson

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2023028468 Issued in MO

Practice address

2558 S Brentwood Blvd
Saint Louis, MO 63144-2309

Phone

(314) 961-8940

Fax

(314) 961-8969

NPI assigned

Feb 8, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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": "1707350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1780448944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1958A WITHNELL AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631182517",
            "telephone_number": "314-420-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2558 S BRENTWOOD BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631442309",
            "telephone_number": "314-961-8940",
            "fax_number": "314-961-8969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLESON",
        "first_name": "TODD",
        "middle_name": "ALLEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2023028468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Oleary
• Karen Michelle Olejniczak, PLPC
• Olenjack Chiropractic
• Dawn C Olenjack, DC
• James Michael Oleskevich, DDS
• Onyinyechukwu Oligbo, MD
• Jittarat C Olivares, PHARM.D.
• Cristina Ivette Olivas Chacon, M.D.
• Olive Ambulatory Surgery Center, LLC
• Olive Branch Home Health Care

• Physical Therapy Assistant in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.