Active NPI
Tara B Olson, OTR/L
- Low Vision Occupational Therapist
- Westbury, NY
National Provider Identifier
1952555757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Low Vision Occupational Therapist
- License
- 010650-1
- Practice address
- 28 Choir LN
Westbury, NY 11590-5722 - Phone
- (516) 238-8894
- Fax
- (516) 414-8542
- NPI assigned
- Nov 6, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Low Vision Occupational Therapist | 225XL0004X | 010650-1 | NY | Primary |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 010650-1 | NY |
Addresses
Primary practice location
28 Choir LN
Westbury, NY 11590-5722
Mailing address
28 Choir LN
Westbury, NY 11590-5722
Phone (516) 238-8894
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010650-1 | NY | MD | Low Vision Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410480000000",
"number": "1952555757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 CHOIR LN",
"city": "WESTBURY",
"state": "NY",
"postal_code": "115905722",
"telephone_number": "516-238-8894",
"fax_number": "516-414-8542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 CHOIR LN",
"city": "WESTBURY",
"state": "NY",
"postal_code": "115905722",
"telephone_number": "516-238-8894",
"fax_number": "516-414-8542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "TARA",
"middle_name": "B",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-06",
"last_updated": "2014-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "225XL0004X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Low Vision",
"state": "NY",
"license": "010650-1",
"primary": true
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "NY",
"license": "010650-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.