Individual provider Active NPI

Olga Borysiewicz, P.T.

  • Physical Therapist
  • Greenwood Village, CO
National Provider Identifier
1861886574
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0016279 Issued in CO
Practice address
4850 S Yosemite St
Greenwood Village, CO 80111-1308
Phone
(720) 554-5050
NPI assigned
Mar 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 076025 IA
Physical Therapist 225100000X 0016279 CO Primary

Addresses

Primary practice location

4850 S Yosemite St
Greenwood Village, CO 80111-1308

Mailing address

4850 S Yosemite St
Greenwood Village, CO 80111-1308
Phone (720) 554-5050

Other names 1

  • Olga Nikolaenko Former name

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

LicenseStateTypeSpecialty
0016279COMDPhysical Therapist
076025IAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1426809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1861886574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 S YOSEMITE ST",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801111308",
            "telephone_number": "720-554-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 S YOSEMITE ST",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801111308",
            "telephone_number": "720-554-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORYSIEWICZ",
        "first_name": "OLGA",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-20",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "076025",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0016279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLGA",
            "last_name": "NIKOLAENKO",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.