Active NPI
Kasandra Olcus
- Physical Therapist
- Pittsburgh, PA
National Provider Identifier
1891225371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT32253
- Practice address
- 5230 Centre Ave
Pittsburgh, PA 15232-1304 - Phone
- (412) 623-2121
- NPI assigned
- Jun 15, 2017
- Last updated
- Mar 22, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT32253 | FL | Primary |
Addresses
Primary practice location
5230 Centre Ave
Pittsburgh, PA 15232-1304
Mailing address
924 Mifflin Ave FL 1
Pittsburgh, PA 15221-3440
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT32253 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Therapy & Wellness, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Jupiter, FL
- NPI 1124403233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616371200000",
"number": "1891225371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "924 MIFFLIN AVE FL 1",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152213440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5230 CENTRE AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152321304",
"telephone_number": "412-623-2121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLCUS",
"first_name": "KASANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-15",
"last_updated": "2021-03-22",
"certification_date": "2021-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT32253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.