MARYLU ANN OLSEN – Occupational Therapist, NPI 1063523579

MARYLU ANN OLSEN is a healthcare provider. based in Villa park, Illinois. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. The NPI Number for MARYLU ANN OLSEN is 1063523579

Main info

Female
43 Years Of Experience
Accepts Medicare Assignment
Name
MARYLU ANN OLSEN
NPI
1063523579
Phone
(630) 620-4433
Address
830 S ADDISON AVE
Enumeration Date
31 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6306204433
Graduation Year
1983 (43 years ago)
PAC ID
6406875996
Group Practice PAC ID
7113963919
Professional Enrollment ID
I20051114000997
Address ID
IL601812877VI830XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

973 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in IL

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Provider Addresses for MARYLU ANN OLSEN

  • 830, South Addison Avenue, Lombard, DuPage County, Illinois, 60148, United States

    VILLA PARK, IL 601812877

    Phone: (630) 620-4433

    Fax: (630) 620-1148

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-11-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051114000997IOccupational Therapist In Private PracticeILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60181)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113963919View full group profile
NameSpecialtyState
-IL
-IL
Physical Therapist In Private PracticeIL
Qualified AudiologistIL
Physical Therapist In Private PracticeIL
-IL
-IL
Physical Therapist In Private PracticeIL
Qualified AudiologistIL
-IL

Reviews

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Frequently asked questions

What federal number belongs to MARYLU ANN OLSEN?
The federal identifier for MARYLU ANN OLSEN is NPI 1063523579.
Is MARYLU ANN OLSEN's NPI currently valid?
The extract we use shows MARYLU ANN OLSEN as active.
Can you summarize MARYLU ANN OLSEN's specialty in plain language?
Clinically, the directory lists MARYLU ANN OLSEN with Occupational Therapist. Clinical services aligned with this taxonomy classification.
Where does public data place MARYLU ANN OLSEN?
The snapshot lists Villa Park, Illinois for MARYLU ANN OLSEN; download NPPES for the complete set.
Is MARYLU ANN OLSEN a real provider?
This page reflects official NPPES data for NPI 1063523579. Always confirm identity and privileges with the practice and licensing boards.

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