Nicole Lynn Olson, MS, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

110782 Issued in IA

Practice address

3520 Grand Ave
Des Moines, IA 50312-4359

Phone

(317) 626-9492

NPI assigned

Oct 17, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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.

• Anew Therapy & Wellness LLC

  • Rehabilitation Clinic/Center
  • Terre Haute, IN
  • NPI 1225792534
  Medicare reassignment

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1942553771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15232 HOLCOMB CIR",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503254526",
            "telephone_number": "317-626-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 GRAND AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503124359",
            "telephone_number": "317-626-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "NICOLE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "MS, OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-17",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31005335A",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "110782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leatrice Olson, DO
• Leslie Olson
• Loren A Olson, M.D., D.L.F.A.P.A.
• Mason Olson, HIS
• Meredith Dallas Olson
• Sarah Ann Olson, MOT, OTR/L
• Timothy Olson, MD
• Kayla Olstinske, PHARMD
• Tammy Sue Oltman, LMSW
• Emily Lyn Oltmanns, PHARMD.

• Occupational Therapist in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Occupational Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.