BRADLEY THOMAS OLSON (PT) – Physical Therapist, NPI 1497867584

BRADLEY THOMAS OLSON (PT) is a healthcare provider. based in Coon rapids, Minnesota. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 5503 (MN). The NPI Number for BRADLEY THOMAS OLSON (PT) is 1497867584

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY THOMAS OLSON (PT)
NPI
1497867584
Phone
Not provided
Address
12410 GOLDENROD ST NW
Enumeration Date
31 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7637800694
Graduation Year
1994 (32 years ago)
PAC ID
1759289861
Group Practice PAC ID
3375645179
Professional Enrollment ID
I20031229000334
Address ID
MN554494500BL1750XNEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,108 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MN

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Provider Addresses for BRADLEY THOMAS OLSON (PT)

  • 12410, Goldenrod Street Northwest, Burl Oaks, Coon Rapids, Anoka County, Minnesota, 55448, United States

    COON RAPIDS, MN 554482648

    Phone:

    Type: Mailing

  • 1750, 105th Avenue Northeast, Blaine, Anoka County, Minnesota, 55449, United States

    BLAINE, MN 55449

    Phone: (763) 780-0356

    Type: Location

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: 2003-12-29

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
I20031229000334IPhysical Therapist In Private PracticeMNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes43636$0
97161Evaluation for physical therapy, typically 20 minutes2422$0
View full utilization report →

Insurance plans in this area (ZIP 55448)

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Provider's Procedures

BRADLEY THOMAS OLSON (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYMN97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes47137

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: 3375645179View full group profile
NameSpecialtyState
P A T H O L O G YMN
G A S T R O E N T E R O L O G YMN
N E U R O S U R G E R YOH
-MN
Physician AssistantMN
Physician AssistantMN
-MN
-MN
Physical Therapist In Private PracticeOR
Cardiovascular Disease (Cardiology)IL

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Frequently asked questions

Does BRADLEY THOMAS OLSON (PT) have a public NPI I can cite?
Public records show BRADLEY THOMAS OLSON (PT) under NPI 1497867584.
Does the public listing show BRADLEY THOMAS OLSON (PT) as active?
BRADLEY THOMAS OLSON (PT)'s NPI record reflects an active status in NPPES.
Which specialty label fits BRADLEY THOMAS OLSON (PT)?
NPPES ties BRADLEY THOMAS OLSON (PT) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to BRADLEY THOMAS OLSON (PT)?
BRADLEY THOMAS OLSON (PT) shows a connection to Coon Rapids, Minnesota in registry-derived data.
Can I export BRADLEY THOMAS OLSON (PT)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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