Peter Michael Olson, PT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2795 Issued in NH

Practice address

58 Range Rd Ste 16
Windham, NH 03087-2026

Phone

(603) 890-8844

Fax

(603) 890-8845

NPI assigned

Jul 7, 2005

Last updated

Mar 26, 2008By 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

Other identifiers 9

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Orthosports & Aquatic Physical Therapy, PC

  dba OrthoSportsMED Physical Therapy

  • Physical Therapist
  • Needham, MA
  • NPI 1407803935
  NPD
• Merrimack Valley Physical Therapy

  dba MVPT Physical Therapy

  • Physical Therapist
  • Bedford, NH
  • NPI 1194771139
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206489600000",
    "number": "1881691590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 RANGE RD STE 16",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "030872026",
            "telephone_number": "603-890-8844",
            "fax_number": "603-890-8845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 RANGE RD STE 16",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "030872026",
            "telephone_number": "603-890-8844",
            "fax_number": "603-890-8845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "PETER",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2008-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "2795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "001665",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30394917",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1227022",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "6400248",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA51374",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0715743",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "VX2303",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "08Y004081NH05",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "TAX-ID",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Nelson
• John Niceforo, MD
• Northeast Orthopaedic Alliance PLLC
• Amorette Harbeck Howland O'Brien, MSFT
• Natalie Jill Oconnor, NP
• Emily Orciani
• OT Works 4 Kidz, LLC
• OT Works 4 Kidz, LLC
• Christina L Ozaroff
• Bridget Colleen Paganini, FNP-BC

• Physical Therapist in Windham, NH
• Providers in Windham, NH by specialty
• Physical Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; 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.