Theodore Ronald Oliver, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT295296 Issued in CA

Practice address

17050 Arnold Dr
Riverside, CA 92518-2806

Phone

(833) 399-1402

Fax

(951) 848-9676

NPI assigned

Nov 8, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Plan Physical Therapy, Inc.

  • Physical Therapist
  • Fresno, CA
  • NPI 1821332925

  Orthopedic

  NPD
• Seivert Physical Therapy PC

  • Physical Therapist
  • Grass Valley, CA
  • NPI 1114000445
  NPD (past)

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1003384934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1778 SOMERSET LN",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923745561",
            "telephone_number": "951-660-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17050 ARNOLD DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925182806",
            "telephone_number": "833-399-1402",
            "fax_number": "951-848-9676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "THEODORE",
        "middle_name": "RONALD",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-08",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT295296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olive Crest
• Olive Crest
• Olive Crest
• Graciela Oliver
• Robert Oliver, PA
• Vannea Chantel Olivo-Prado
• Lizette Olmedo
• Marylyn Celeste Olmedo
• Angel Olmos
• Brenda Olmos, RN

• Orthopedic Physical Therapist in Riverside, CA
• Providers in Riverside, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.