Erin L Olsen, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA-412 Issued in ID

Practice address

3736 Sandpiper Dr
Pocatello, ID 83201-5538

Phone

(208) 221-7889

NPI assigned

Apr 30, 2012

Last updated

Apr 30, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335744000000",
    "number": "1861750606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3736 SANDPIPER DR",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015538",
            "telephone_number": "208-221-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3736 SANDPIPER DR",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015538",
            "telephone_number": "208-221-7889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "ERIN",
        "middle_name": "L",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-30",
        "last_updated": "2012-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "ID",
            "license": "PTA-412",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "UT",
            "license": "8255910-2402",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Ohmie, DPT
• Kelley J Olenick, AU.D.
• Kathleen Olivarez
• Rachelle Oliverson, MPT
• Blaine Olsen, D.O.
• Kara Kerise Olsen, NP-C
• Lynn David Olsen
• Matthew B Olsen, LCSW
• Misty Danielle Olsen, LPC
• Kerry Olson

• Physical Therapy Assistant in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Physical Therapy Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; 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.