| Brandon Olsen, | |
|
3486 W Caribou Cir, South Jordan, UT 84095-3349 | |
| (801) 995-8618 | |
| Not Available |
| Full Name | Brandon Olsen |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 1 Years |
| Location | 3486 W Caribou Cir, South Jordan, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467317826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 14262883-8016 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mountain Land Rehabilitation Llc | 9234048745 | 207 |
| Provider Name | Mountain Land Rehabilitation LLC |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1265549372 PECOS PAC ID: 9234048745 Enrollment ID: O20220401002028 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Olsen, 3486 W Caribou Cir, South Jordan, UT 84095-3349 Ph: Not Available | Brandon Olsen, 3486 W Caribou Cir, South Jordan, UT 84095-3349 Ph: (801) 995-8618 |
Clayton Daniel Powers, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5126 W Daybreak Pkwy, South Jordan, UT 84009 Phone: 801-213-4500 |
Todd Harold Schmidt, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3785 W 10400 S Ste 104, South Jordan, UT 84095 Phone: 801-673-4430 |
Elizabeth Junk, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5126 W Daybreak Pkwy, South Jordan, UT 84095 Phone: 801-213-5275 Fax: 801-213-5077 |
Erin Mcmullin, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1868 W 9800 S Ste 200, South Jordan, UT 84095 Phone: 801-676-2210 |
Sarah Roberts, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10619 S Jordan Gtwy Ste 205, South Jordan, UT 84095 Phone: 801-264-0213 |
Jared Moser, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1868 W 9800 S Ste 200, South Jordan, UT 84095 Phone: 801-676-2210 |
Derek Tedder, DPT, ATC Physical Therapist Medicare: Medicare Enrolled Practice Location: 5126 W Daybreak Pkwy, South Jordan, UT 84009 Phone: 801-213-4500 |