Active NPI
Ryan Olivieri, PT, DPT
- Physical Therapist
- Bay Shore, NY
National Provider Identifier
1104609924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 051025
- Practice address
- 8 Saxon Ave Ste B
Bay Shore, NY 11706-7036 - Phone
- (631) 328-2624
- NPI assigned
- Aug 15, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 051025 | NY | Primary |
Addresses
Primary practice location
8 Saxon Ave Ste B
Bay Shore, NY 11706-7036
Mailing address
2342 Locust Ave
Ronkonkoma, NY 11779-6522
Other practice location 1
560 Walt Whitman Rd Ste 1
Melville, NY 11747-2114
Phone (631) 923-2288
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- State University of New York at Stony Brook, School of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
560 Walt Whitman Rd
Suite 1
Melville, NY 11747-2114
Phone (631) 923-2288
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Step Physical Therapy of Long Island | Physical Therapist | Current | Accepting new patients |
Locations
8 Saxon Ave
Ste B
Bay Shore, NY 11706
Phone (631) 328-2624
560 Walt Whitman Rd
Ste 1
Melville, NY 11747
Phone (631) 923-2288
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Organizations & group practices 1
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.
-
- Physical Therapist
- Melville, NY
- NPI 1689966178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692057600000",
"number": "1104609924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2342 LOCUST AVE",
"city": "RONKONKOMA",
"state": "NY",
"postal_code": "117796522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 SAXON AVE STE B",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117067036",
"telephone_number": "631-328-2624"
}
],
"practiceLocations": [
{
"address_1": "560 Walt Whitman Rd Ste 1",
"address_purpose": "LOCATION",
"city": "Melville",
"state": "NY",
"postal_code": "117472114",
"country_code": "US",
"telephone_number": "631-923-2288",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLIVIERI",
"first_name": "RYAN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-15",
"last_updated": "2023-08-15",
"certification_date": "2023-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "051025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bay Shore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.