Yermayn Antonio Olivares

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT20523 Issued in FL

Practice address

1236 Peregrine Way
Weston, FL 33327-2369

Phone

(786) 208-3192

Fax

(954) 990-0751

NPI assigned

Nov 11, 2006

Sex

Male

Sole proprietor

Yes

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

Practice roles

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.

• Sunshine Rehab Center Inc

  • Rehabilitation Clinic/Center
  • Hialeah, FL
  • NPI 1942371141
  NPD (past) Authorized official
• New Beginning Therapy Center, Corp

  • Rehabilitation Clinic/Center
  • Hialeah, FL
  • NPI 1720373541
  NPD (past)

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

{
    "created_epoch": "1163203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314921600000",
    "number": "1013088111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 PEREGRINE WAY",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333272369",
            "telephone_number": "786-208-3192",
            "fax_number": "954-990-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 PEREGRINE WAY",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333272369",
            "telephone_number": "786-208-3192",
            "fax_number": "954-990-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVARES",
        "first_name": "YERMAYN",
        "middle_name": "ANTONIO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-11",
        "last_updated": "2011-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT20523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Ojeda
• Maria Jimena Ojeda
• Nicole Oladunni
• Olaoluwapo Olatokunbo Olaoye, PMHNP
• Morgan Lewis Oldham, PSYD
• Leonardo Protasio Jorge de Oliveira, MD
• Christina Lynn Oliver, APRN
• Oliverllavona LLC (Dental Specialists of Weston)
• Asher Ollivierre, MOTR/L
• Omnicare Pharmacy of Florida, LLC (Omnicare of South Florida #48232)

• Physical Therapist in Weston, FL
• Providers in Weston, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; 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.