Gary Olson, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Practice address

150 Gateway Dr Ste A150
Lincoln, CA 95648-3316

Phone

(916) 434-9572

Fax

(916) 434-9063

NPI assigned

Dec 28, 2021

Last updated

Dec 28, 2021By the provider in NPPES

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

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Lincoln Physical and Occupational Therapy, Inc

  • Orthopedic Physical Therapist
  • Lincoln, CA
  • NPI 1912066705
  Medicare reassignment NPD

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1831859123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5933 MARETA LN",
            "city": "LOOMIS",
            "state": "CA",
            "postal_code": "956509557",
            "telephone_number": "916-205-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 GATEWAY DR STE A150",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956483316",
            "telephone_number": "916-434-9572",
            "fax_number": "916-434-9063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "GARY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-28",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Katie O'Connell
• Lara Obeid
• Olusola Gbenga Oluwafemi, LVN
• Open Door Medical Transportation LLC
• Optima Medical Laboratory
• Ron Billano Ordona, NP
• Clarissa Ortiz, ACSW

• Orthopedic Physical Therapist in Lincoln, CA
• Providers in Lincoln, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.

Verify at the official NPI Registry.