Active NPI
Kelly Olson, DPT
- Physical Therapist
- Boca Raton, FL
National Provider Identifier
1962601179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 22867
- Practice address
- 9980 Central Park Blvd N
Suite 102
Boca Raton, FL 33428-1762 - Phone
- (561) 470-2205
- Fax
- (561) 470-2215
- NPI assigned
- Jul 17, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 22867 | FL | Primary |
Addresses
Primary practice location
9980 Central Park Blvd N
Suite 102
Boca Raton, FL 33428-1762
Mailing address
9980 Central Park Blvd N
Suite 102
Boca Raton, FL 33428-1762
Phone (561) 470-2205
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 |
|---|---|---|---|
| 22867 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joyner Hand, PA | Past | Accepting new patients | |
| Hands With Care Occupational Therapy and Rehabilitation LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Occupational Therapist
- Boca Raton, FL
- NPI 1144431784
Physical Therapist
-
- Surgery of the Hand (Surgery) Physician
- Delray Beach, FL
- NPI 1528363280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234310400000",
"number": "1962601179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9980 CENTRAL PARK BLVD N",
"address_2": "SUITE 102",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334281762",
"telephone_number": "561-470-2205",
"fax_number": "561-470-2215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9980 CENTRAL PARK BLVD N",
"address_2": "SUITE 102",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334281762",
"telephone_number": "561-470-2205",
"fax_number": "561-470-2215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "KELLY",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-17",
"last_updated": "2009-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "22867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.