MACKENZIE OLSON (NPI# 1366851107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366851107 |
| Entity Type | Individual |
| Full Name | MACKENZIE OLSON |
| Credential | DPT |
| Practice Address |
1365 Clifton Rd Ne Ste 2218 Atlanta GA 30322-1013 |
| Mailing Address |
1365 Clifton Rd Ne Ste 2218 Atlanta GA 30322-2490 |
| Practice Telephone | 4047121620 |
| Practice Fax Number | 4047124130 |
| Mailing Telephone | 4047121620 |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2015-07-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT011589 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1365 CLIFTON RD NE STE 2218 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30322-1013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700445830 | Justin Gill | Student in an Organized Health Care Education/Training Program | 1365 Clifton Rd Ne, Clinic B - Suite B6100, Atlanta, GA 30322 | 2019-06-12 |
| 1891354510 | Gwendolyn Gisiner Gunn | Genetic Counselor, MS | Emory Genetics Clinic, 1365 Clifton Road Ne, Atlanta, GA 30322 | 2019-06-06 |
| 1144710567 | Lisa Cathy-ann Akosa | Registered Nurse | 1365 Cifton Road Ne, Atlanta, GA 30322 | 2018-05-10 |
| 1083118004 | Jessica Milian Keilson | Student in an Organized Health Care Education/Training Program | 1364 Clifton Road Ne, Suite H100, Emory University Hospital Office of Surgical Education, Atlanta, GA 30322 | 2018-03-23 |
| 1568982684 | Jennifer Bilko | Dietitian, Registered | 1365 Clifton Rd., Bldg A, 1st Floor, Suite 1450, Atlanta, GA 30322 | 2017-06-20 |
| 1134652258 | Kassahun Bilcha | Student in an Organized Health Care Education/Training Program | 1525 Clifton Rd Ne Ste 100, Atlanta, GA 30322 | 2017-04-05 |
| 1356872246 | Tova Rogers | Dermatology | 1525 Clifton Road Suite 105, Atlanta, GA 30322 | 2017-03-23 |
| 1194271445 | Dina Amin | Dentist | 1365 Clifton,building B, Oral and Maxillofacial Surgery, Suite 2300, Atlanta, GA 30322 | 2016-08-28 |
| 1427404904 | Rita Kaur Kuwahara | Student in an Organized Health Care Education/Training Program | 100 Woodruff Circle, Suite 327, Atlanta, GA 30322 | 2016-05-13 |
| 1891176251 | Octav Cristea | Transplant Surgery | 1365 Clifton Road Northeast, Building B, 6th Floor, Atlanta, GA 30322 | 2015-06-11 |
| Find all providers in zip 30322 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649791005 | Caitlin Moriah Clark | Physical Therapist | 1995 N Park Pl Se Ste 410, Atlanta, GA 30339-2072 | 2017-07-06 |
| 1669862769 | Westside Physical Therapy, LLC | Physical Therapist | 1695 Marietta Blvd Nw, At Atlanta Ballet, Atlanta, GA 30318-3644 | 2015-01-27 |
| 1689073553 | Ilana Danneman | Physical Therapist | 2016 Lakesprings Way, Atlanta, GA 30338-4414 | 2014-08-17 |
| 1992066013 | Nia I Seidu-clark | Physical Therapist | 688 Spring St, Atlanta, GA 30354-1414 | 2012-06-05 |
| 1750601464 | Audrey K Jones | Physical Therapist | 195 Arizona Ave., L/w-2, Suite 400, Atlanta, GA 30307 | 2010-06-03 |
| 1588995054 | Stacy Hosp | Physical Therapist | 3280 Peachtree Rd Ne, 225, Atlanta, GA 30305-2430 | 2010-01-24 |
| 1326372293 | Leslie K Wolfe | Physical Therapist | 1144 Zimmer Dr Ne, Atlanta, GA 30306-3321 | 2009-09-25 |
| 1912988098 | Injury Prevention & Management Consulting LLC | Physical Therapist | 1 Dunwoody Park, Suite 121, Atlanta, GA 30338-6202 | 2005-11-07 |
| 1982266284 | Sabrina Michelle Viola | Physical Therapist | 3200 Downwood Cir Nw Ste 700, Atlanta, GA 30327-5308 | 2019-07-08 |
| 1396259701 | Catalyst Physical Therapy | Physical Therapist | 800 Mount Vernon Hwy Ne Ste 325, Atlanta, GA 30328-4296 | 2017-11-21 |
| Find all providers in ATLANTA | ||||
Please comment or provide details below to improve the information on MACKENZIE OLSON.
| 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.