Thomas Anthony Olson, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

2115 Summit Ave
Saint Paul, MN 55105-1096

Phone

(612) 968-5133

NPI assigned

Nov 22, 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1942743950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1591 106TH AVE NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554336308",
            "telephone_number": "612-968-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 SUMMIT AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551051096",
            "telephone_number": "612-968-5133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2222 Vining Dr Unit H",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "MN",
            "postal_code": "551257570",
            "country_code": "US",
            "telephone_number": "612-968-5133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSON",
        "first_name": "THOMAS",
        "middle_name": "ANTHONY",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-22",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATA BOARD OF CERTIFICATION",
            "identifier": "2000028350",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA STATE LICENSURE",
            "identifier": "3105",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Marie Olson, PSY.D.
• Shelby Lee Olson, MS, LN
• Tara M Olson, PA
• Taryn Olson
• Taylor Danielle Olson
• Tina L Olson, LADC
• Wendy Jean Olson, MSW
• Maggie Omalley, MA, LPCC
• Amber Lee Oman
• Nicole Omann, MD

• Athletic Trainer in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Athletic Trainer in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.