Betsy Lee Olsen, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60144754 Issued in WA

Practice address

21009 76TH Ave W
Edmonds, WA 98026-7126

Phone

(425) 672-2910

Fax

(425) 778-1872

NPI assigned

Sep 20, 2010

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Martha Lake Physical Therapy Inc

  • Physical Therapist
  • Lynnwood, WA
  • NPI 1104265412
  NPD (past)

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1942518386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21009 76TH AVE W",
            "address_2": "AXIS PHYSICAL THERAPY",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267126",
            "telephone_number": "425-672-2910",
            "fax_number": "425-778-1872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21009 76TH AVE W",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267126",
            "telephone_number": "425-672-2910",
            "fax_number": "425-778-1872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "BETSY",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-20",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60144754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "G8896205",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paula Ohara, BDS, MSD
• Nicole Okada, MD, MPH
• Phanice Okioma
• Ryong Bae Oliveto, L.M.T.
• Channy Ollivierre
• Elizabeth Ann Olsen, LMHCA
• Justin Paul Olsen, M.D.
• Michael Stewart Olsen, MD
• Jon B Olson, MD
• Kristen Joy Omondi

• Physical Therapist in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; 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.