Active NPI
Kristy Lou Olson, MS
- Occupational Therapist
- Orofino, ID
National Provider Identifier
1801267158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT-1510
- Practice address
- 845 Upper Fords Creek Rd
Orofino, ID 83544-6218 - Phone
- (360) 306-0014
- NPI assigned
- Oct 13, 2015
- Last updated
- Oct 13, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT-1510 | ID | Primary |
Addresses
Primary practice location
845 Upper Fords Creek Rd
Orofino, ID 83544-6218
Mailing address
845 Upper Fords Creek Rd
Orofino, ID 83544-6218
Phone (360) 306-0014
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-1510 | ID | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444694400000",
"number": "1801267158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "845 UPPER FORDS CREEK RD",
"city": "OROFINO",
"state": "ID",
"postal_code": "835446218",
"telephone_number": "360-306-0014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 UPPER FORDS CREEK RD",
"city": "OROFINO",
"state": "ID",
"postal_code": "835446218",
"telephone_number": "360-306-0014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "KRISTY",
"middle_name": "LOU",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-13",
"last_updated": "2015-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ID",
"license": "OT-1510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orofino, ID
- Mikayla Danielle Moser, RPH
- Mountain View Movement and Massage LLC
- Brett T Mumford, D.O.
- Carissa Jo Myers, LMSW
- Sarah Colleen Nelson, LMT
- Orofino Chiropractic, PLLC (Orofino Spine Center)
- Orofino Physical Therapy and Wellness Inc
- Orofino Physical Therapy, PLLC
- Orofino Retirement Properties Inc (Brookside Landing)
- Owc, Inc. (Orofino Wellness Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.