Active NPI
Jane Lillian Olds, PT
- Physical Therapist
- Woodstock, VT
National Provider Identifier
1821034083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0400002372
- Practice address
- 10606 RT. 106 South
Woodstock, VT 05091 - Phone
- (802) 457-4213
- NPI assigned
- Jun 22, 2006
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0400002372 | VT | Primary |
Addresses
Primary practice location
10606 RT. 106 South
Woodstock, VT 05091
Mailing address
3 Eaton PL
Woodstock, VT 05091-1008
Phone (802) 457-2153
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 48246 | Other | VT | BLUE CROSS BLUE SHIELD |
| OVN2054 | Medicaid | VT |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0400002372 | VT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821034083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 EATON PL",
"city": "WOODSTOCK",
"state": "VT",
"postal_code": "050911008",
"telephone_number": "802-457-2153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10606 RT. 106 SOUTH",
"city": "WOODSTOCK",
"state": "VT",
"postal_code": "05091",
"telephone_number": "802-457-4213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLDS",
"first_name": "JANE",
"middle_name": "LILLIAN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VT",
"license": "0400002372",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "48246",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "OVN2054",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodstock, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.