JAY EDWARD OLSSON (NPI# 1144264904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144264904 |
| Entity Type | Individual |
| Full Name | JAY EDWARD OLSSON |
| Credential | DO PROF ASSOCIATIONN |
| Practice Address |
401 N Wickham Rd Suite S Melbourne FL 32935-8659 |
| Practice Telephone | 3212429031 |
| Practice Fax Number | 3212429035 |
| Mailing Telephone | 3212429031 |
| Mailing Fax Number | 3212429035 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2013-09-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | OS0004087 | FL | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
OS4087 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 045794900 | 05 |
| Street Address |
401 N WICKHAM RD SUITE S |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32935-8659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306836952 | Poonam Mishra | Family Medicine | 401 N Wickham Rd, Suite H, Melbourne, FL 32935-8659 | 2005-10-25 |
| 1669750873 | Brevard Hma Hme, LLC | Durable Medical Equipment & Medical Supplies | 401 N Wickham Rd, Suite K, Melbourne, FL 32935-8659 | 2011-07-22 |
| 1295051845 | Ashwini Healthcare LLC | Pharmacy | 401 N Wickham Rd, Suite W and X, Melbourne, FL 32935-8659 | 2010-04-07 |
| 1134231079 | The Affordable Apothecary Inc | Pharmacy | 401 N Wickham Rd, Ste E, Melbourne, FL 32935-8659 | 2006-08-31 |
| 1477562403 | Medical Associates of Brevard LLC | Clinic/Center | 401 N Wickham Rd, Suite H, Melbourne, FL 32935-8659 | 2006-08-07 |
| 1366463226 | Jay E. Olsson, D.o., P.a. | Physical Medicine & Rehabilitation | 401 N Wickham Rd, Suite S, Melbourne, FL 32935-8659 | 2006-07-23 |
| 1841234721 | Christopher Stanley Cole | Physician Assistant | 401 N Wickham Rd, Suite S, Melbourne, FL 32935-8659 | 2006-06-15 |
| 1265415103 | Michelle Jane Madan | Nurse Practitioner | 401 N Wickham Rd, Suite S, Melbourne, FL 32935-8659 | 2005-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407412018 | Aleecia Estime | Nurse Practitioner | 401 N Wickham Rd Ste S, Melbourne, FL 32935 | 2019-05-20 |
| 1669948261 | Lisa Marie Sarkees | Social Worker | 1503 Spring Drive, Melbourne, FL 32935 | 2018-10-22 |
| 1407355399 | Eugene Slaughter | Case Manager/Care Coordinator | 1600 W Eau Gallie Blvd. Suite 201 F, Melbourne, FL 32935 | 2018-02-06 |
| 1588173173 | Gregory M Mcdermand | Respiratory Therapist, Certified | 2745 Revolution St, Unit 101, Melbourne, FL 32935 | 2017-09-26 |
| 1386173649 | M Shami | Nurse Practitioner | 401 N Wickham Rd. Suite S, Melbourne, FL 32935 | 2017-06-08 |
| 1588102297 | Chiro Choice A Limited Liability Company | Clinic/Center | 1310 W Eau Galle Blvd Ste A, Melbourne, FL 32935 | 2017-02-02 |
| 1124574835 | A Loving Touch Private Home Care | Home Health | 1595 Palmwood Drive, Melbourne, FL 32935 | 2016-09-01 |
| 1538616099 | Pedro Triana Villamil | Specialist/Technologist, Other | 1600 Sarno Rd. Suite 15, Melbourne, FL 32935 | 2016-09-01 |
| 1528424132 | Lisa Forsythe | Acupuncturist | 1250 W. Eau Gallie Blvd., Suite H, Melbourne, FL 32935 | 2016-01-12 |
| 1528432028 | Harbor City Pharmacy Inc | Pharmacy | 503 Harbor City Blvd., Melbourne, FL 32935 | 2015-11-20 |
| Find all providers in zip 32935 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316171036 | Mahathy Katukuri | Physical Medicine & Rehabilitation | 6414 Modern Duran Dr, Melbourne, FL 32940-2832 | 2009-05-08 |
| 1255590261 | Vijay Katukuri | Physical Medicine & Rehabilitation | 1301 W Eau Gallie Blvd Ste 112, Melbourne, FL 32935 | 2008-06-04 |
| 1932317054 | Luiz M Massa | Physical Medicine & Rehabilitation | 7125 Murrell Rd Ste C, Melbourne, FL 32940 | 2007-05-21 |
| 1144294596 | Li Jin Voepel | Physical Medicine & Rehabilitation | 4015 N Harbor City Blvd, Melbourne, FL 32935-5794 | 2006-02-14 |
| 1760474712 | Roger P. Thomas | Physical Medicine & Rehabilitation | 307 E New Haven Ave, Melbourne, FL 32901-4576 | 2005-08-16 |
| 1851904916 | Central Florida Spine and Pain | Physical Medicine & Rehabilitation | 395 S Wickham Rd, Melbourne, FL 32904-1135 | 2020-08-28 |
| 1700497948 | Luke Jared Lamarre | Physical Medicine & Rehabilitation | 6300 N Wickham Rd Ste 133b, Melbourne, FL 32940-2029 | 2020-08-12 |
| 1396364774 | Mark Knopf | Physical Medicine & Rehabilitation | 611 Sheridan Rd, Melbourne, FL 32901-3226 | 2020-04-15 |
| 1609226810 | Matthew Joseph Janzen | Physical Medicine & Rehabilitation | 7955 Spyglass Hill Rd Ste A, Melbourne, FL 32940-8249 | 2016-06-18 |
| 1043647209 | Empowered Motion LLC | Physical Medicine & Rehabilitation | 101 E Florida Ave, Melbourne, FL 32901-8301 | 2013-10-02 |
| Find all providers in MELBOURNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.