Tyler J Olson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

400 3Rd Ave W Ste 100
Ashland, WI 54806-1679

Phone

(715) 682-8000

Fax

(715) 682-3145

NPI assigned

Sep 14, 2016

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wilson Physical Therapy S.C.Group PAC ID 2062673635, 4 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Wilson Physical Therapy S.C.

  • Physical Therapy Clinic/Center
  • Ashland, WI
  • NPI 1487933180
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1881142271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 3RD AVE W STE 100",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548061679",
            "telephone_number": "715-682-8000",
            "fax_number": "715-682-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 3RD AVE W STE 100",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548061679",
            "telephone_number": "715-682-8000",
            "fax_number": "715-682-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "TYLER",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WI DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES",
            "identifier": "13429-24",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NSH-Court Manor LLC (Court Manor Health Services)
• Lynn Marie O'Connell, COTA
• Kim Marie Ogle, MD
• Valerie Marie Olby, COTA
• Samantha Mae Oliphant
• Orthopedic & Spine Therapy of Poplar, SC
• Orthopedic & Spine Therapy of Poplar, SC
• Michaela Rose Otterstatter
• John Charles Oujiri
• Teri Ovaska, MSE, LPC

• Physical Therapist in Ashland, WI
• Providers in Ashland, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.