Jacob Grant Olson (NPI# 1225334543, PAC ID# 3678759883) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OCCUPATIONAL THERAPY.
| Nation Provider ID (NPI) | 1225334543 |
| PAC ID by PECOS | 3678759883 |
| Professional Enrollment ID | I20110523000588 |
| Full Name | Jacob Grant Olson |
| Organization Legal Name | ATHLETIC AND THERAPEUTIC INSTITUTE OF BOURBONNAIS, LLC |
| Address |
1306 Gemini Cir Suite 3 Ottawa IL 61350-1695 |
| Phone Number | 8154319980 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | OCCUPATIONAL THERAPY |
| Group Practice PAC ID | 4183692577 |
| Number of Group Practice Members | 241 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1306 Gemini Cir, Suite 3, Ottawa, IL 61350-1695 | 8154319980 | ATHLETIC AND THERAPEUTIC INSTITUTE OF BOURBONNAIS, LLC |
| Organization Legal Name | ATHLETIC AND THERAPEUTIC INSTITUTE OF BOURBONNAIS, LLC |
| Physicians | 256 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacob W Comstock | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 1296 W Boughton Rd, Bolingbrook, IL 60490-1554 |
| Allison Anne Zak | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 2340 W Indian Trl, Suite 120, Aurora, IL 60506-1570 |
| Adam C Detoni | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 1240 Route 34, Oswego, IL 60543-8939 |
| Mark Whitsitt | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 11535 Us Hwy 14, Woodstock, IL 60098-7227 |
| Samantha Marconi | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 3080 Caton Farm Rd, Unit 17, Joliet, IL 60435-1455 |
| Shelby Osterberg | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 12112 S Route 47, Huntley, IL 60142-9619 |
| Brock Wayne Athey | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 1300 E Route 40, Casey, IL 62420-3126 |
| Matthew Windmoeller | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 1521 E Riverside Blvd, Suite 2, Loves Park, IL 61111-4771 |
| Mandi Miller | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 605 E Southline Rd, Tuscola, IL 61953-2053 |
| Shannon P Gengenbacher | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 3082 Caton Farm Rd, Joliet, IL 60435-1455 |
| Street Address |
1306 GEMINI CIR SUITE 3 |
| City | OTTAWA |
| State | IL |
| Zip | 61350-1695 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melchor Paulo Adapon Aranas | Family Medicine | Morris Hospital | 1306 Gemini Cir, Suite 1, Ottawa, IL 61350-1695 |
| Juli Ann Kent | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 1306 Gemini Cir, Suite 3, Ottawa, IL 61350-1695 |
| Brandon Aubry | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 1306 Gemini Cir, Suite 3, Ottawa, IL 61350-1695 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacy A Aubry | Clinical Social Worker | Crossroads Counseling Services, LLC | 601 W Norris Dr, Suite B, Ottawa, IL 61350-1308 |
| Craig S Laasch | Psychologist, Clinical | Crossroads Counseling Services, LLC | 601 W Norris Dr, Suite B, Ottawa, IL 61350-1308 |
| Erik John Fossen | Emergency Medicine | Ottawa Regional Hospital and Healthcare Center | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Jeffrey Alan Crowhurst | Podiatry | 1100 E Norris Dr, Ottawa, IL 61350-1604 | |
| Angela C Nimke | Clinical Social Worker | Ottawa Regional Hospital and Healthcare Center | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Neil N Pandya | Internal Medicine | 24 On Physicians PC | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Susan M Rohr | Clinical Social Worker | Ottawa Regional Hospital and Healthcare Center | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Anthony C Zalduendo | Radiation Oncology | Ottawa Regional Hospital and Healthcare Center | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Daniel R Mueller | Emergency Medicine | Ottawa Regional Hospital and Healthcare Center | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Mohammed Siddiqui | Internal Medicine | 24 On Physicians PC | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Find all physicians in zip 61350 | |||
| City | OTTAWA |
| Zip Code | 61350 |
| Specialty | OCCUPATIONAL THERAPY |
| City + Specialty | OTTAWA + OCCUPATIONAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.