Melissa Jan Olive

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2065406 Issued in TX

Practice address

5225 S Loop 289 Ste 210
Lubbock, TX 79424-1319

Phone

(806) 780-4180

NPI assigned

May 22, 2018

Sex

Female

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 and National Provider Directory roles.

• Epic Health Services, Inc.

  • Home Health Agency
  • Houston, TX
  • NPI 1407922701
  NPD (past)
• Epic Health Services, Inc.

  • Home Health Agency
  • Lubbock, TX
  • NPI 1659447944
  NPD (past)

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1114418555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 NE LOOP 820; BUSINESS TOWER 1, SUITE 200;",
            "city": "HURST",
            "state": "TX",
            "postal_code": "76053",
            "telephone_number": "817-292-8787",
            "fax_number": "817-789-6849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 S LOOP 289 STE 210",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794241319",
            "telephone_number": "806-780-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVE",
        "first_name": "MELISSA",
        "middle_name": "JAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2065406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Gwyneth Oldham, CPNP
• Kristin Oliphant
• Claude Michel Oliva, MD PA
• Roderick Olivas, MD
• Johnathon Olive, PT
• Mylanda Oliver, FNP
• Lisa Oliveri, M.D.
• Bryce Harvey Olson, PT
• Liesl Lynn Olson, PT
• Theophilus O Olumese, MD

• Physical Therapy Assistant in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.