Oliver C Nuique, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4896 Issued in NM

Practice address

2351 Indian Wells Rd
Alamogordo, NM 88310-4607

Phone

(575) 437-3351

Fax

(575) 437-2622

NPI assigned

Sep 7, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NM, CA2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alamogordo Physical Therapy & Wellness Center, Inc

  • Physical Therapist
  • Alamogordo, NM
  • NPI 1043225493
  Medicare reassignment NPD
• Artesia Physical Therapy LLC

  • Physical Therapist
  • Artesia, NM
  • NPI 1033124490
  Medicare reassignment NPD
• Carlsbad Physical Therapy & Wellness Center, LLC

  • Physical Therapist
  • Carlsbad, NM
  • NPI 1841205200
  Medicare reassignment NPD
• Active Marin Physical Therapy Inc

  dba Cynthia Lewton Dehan

  • Physical Therapy Clinic/Center
  • Larkspur, CA
  • NPI 1184852766
  Medicare reassignment NPD
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299
  Medicare reassignment NPD
• Advanced Performance Physical Therapy and Rehabilitation, Inc

  • Physical Therapist
  • Lompoc, CA
  • NPI 1720023658
  Medicare reassignment
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Stockton, CA
  • NPI 1548343510
  NPD
• Permanente Medical Group, Inc

  • Clinical Medical Laboratory
  • San Jose, CA
  • NPI 1497971584
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1003363037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2860",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883112860",
            "telephone_number": "575-439-1397",
            "fax_number": "575-437-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 INDIAN WELLS RD",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883104607",
            "telephone_number": "575-437-3351",
            "fax_number": "575-437-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUIQUE",
        "first_name": "OLIVER",
        "middle_name": "C",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-07",
        "last_updated": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1275310",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "4896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "99 Montecillo Rd",
            "city": "San Rafael",
            "state": "CA",
            "country_code": "US",
            "postal_code": "949033308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Todd Nickerson, DPT
• Nickes Medical Supply, LLC
• Maxwell Nkrumah-Abrokwah, PHARMD
• Kayla Novoa, PA
• Scott Nufer, DPT
• Heather Nye
• Gibson O, DDS
• Jaleesa O'Banner
• Oasis Family Health Center LLC
• Oluwabunmi Sarah Oba, NP

• Physical Therapist in Alamogordo, NM
• Providers in Alamogordo, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.