Healthcare Provider Details

I. General information

NPI: 1700458080
Provider Name (Legal Business Name): DANIEL JAMES OLMSCHENK DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2021
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81 RIVER ST STE 201
MONTPELIER VT
05602-3750
US

IV. Provider business mailing address

1218 JOHN FOWLER RD
PLAINFIELD VT
05667-9392
US

V. Phone/Fax

Practice location:
  • Phone: 802-262-1500
  • Fax: 802-262-1505
Mailing address:
  • Phone: 651-210-8403
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number040.0134166
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: