Active NPI
Stephanie Jo Olson, D.C
- Chiropractor
- Ave Maria, FL
National Provider Identifier
1811274673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 13671
- Practice address
- 5072 Annunciation Cir Ste 230
Ave Maria, FL 34142-9639 - Phone
- (239) 990-7068
- Fax
- (239) 990-7068
- NPI assigned
- Nov 8, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 13671 | FL | Primary |
Addresses
Primary practice location
5072 Annunciation Cir Ste 230
Ave Maria, FL 34142-9639
Mailing address
5072 Annunciation Cir Ste 310
Ave Maria, FL 34142-9695
Phone (239) 990-7068
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13671 | FL | MD | Assisted Living Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifestyles Chiropractic | Current | Accepting new patients | |
| Family Wellness and Health, LLC | Chiropractor | Current | Accepting new patients |
Locations
5072 Annunciation Cir
Ste 310
Ave Maria, FL 34142
Phone (239) 990-7068
5072 Annunciation Cir
Ste 230
Ave Maria, FL 34142
Phone (239) 990-7068
11300 Lindbergh Blvd
Ste 110
Fort Myers, FL 33913
Phone (239) 334-9355
Organizations & group practices 2
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.
-
- Chiropractor
- Ave Maria, FL
- NPI 1609578624
-
- Sports Physician Chiropractor
- Fort Myers, FL
- NPI 1598820821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747785600000",
"number": "1811274673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5072 ANNUNCIATION CIR STE 310",
"city": "AVE MARIA",
"state": "FL",
"postal_code": "341429695",
"telephone_number": "239-990-7068",
"fax_number": "239-990-7068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5072 ANNUNCIATION CIR STE 230",
"city": "AVE MARIA",
"state": "FL",
"postal_code": "341429639",
"telephone_number": "239-990-7068",
"fax_number": "239-990-7068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "STEPHANIE",
"middle_name": "JO",
"name_prefix": "Dr.",
"credential": "D.C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-08",
"last_updated": "2025-05-21",
"certification_date": "2025-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "13671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ave Maria, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.