Oliver Jay Realino, DPT

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

024825 Issued in NY

Practice address

7 W 22ND St FL 8
New York, NY 10010-5142

Phone

(917) 915-8420

NPI assigned

Jun 13, 2007

Last updated

Jun 3, 2024By the provider in NPPES

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)

Not enrolled

State licenses

Practice roles

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.

• Infinity Sports Medicine and Rehabilitation, PLLC

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
  • NPI 1003961491
  NPD (past)
• Neal Mesnick, MD, LLC

  dba Advanced Sports Medicine & Rehabilitation

  • Medical Specialty Clinic/Center
  • New York, NY
  • NPI 1821239336
  NPD (past)

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1114121076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 HARBOR BLVD APT 1601W",
            "city": "WEEHAWKEN",
            "state": "NJ",
            "postal_code": "070866869",
            "telephone_number": "917-915-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 W 22ND ST FL 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100105142",
            "telephone_number": "917-915-8420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REALINO",
        "first_name": "OLIVER JAY",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2024-06-03",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NY",
            "license": "024825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Real Optical, LLC (Cohen's Fashion Optical)
• Real Pilates 1996 LLC
• Real Talk Mental Health Counseling
• Real Talk Mental Health Counseling (Real Talk Therapy)
• Jamie Lorraine Reale, MS SPECIAL EDUCATION
• Realization Center
• Realization Center, Inc.
• Justin Michael Ream, M.D.
• Lucy Isabella Ream
• Gabriella Reamer, MA, LMHC

• Sports Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Sports Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.