Active NPI
Caitlin Mari Oliveros
- Physical Therapist
- Woodland Hills, CA
National Provider Identifier
1174291298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 305671
- Practice address
- 23147 Ventura Blvd Ste 150
Woodland Hills, CA 91364-1112 - Phone
- (424) 447-2727
- NPI assigned
- Sep 2, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 013750 | CT | |
| Physical Therapist | 225100000X | 044680 | NY | |
| Physical Therapist | 225100000X | 305671 | CA | Primary |
Addresses
Primary practice location
23147 Ventura Blvd Ste 150
Woodland Hills, CA 91364-1112
Mailing address
23147 Ventura Blvd Ste 150
Woodland Hills, CA 91364-1112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 305671 | CA | MD | Physical Therapist |
| 013750 | CT | MD | Physical Therapist |
| 044680 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Studio Duyan Physical Therapy & Wellness | Physical Therapist | Current | Accepting new patients |
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
- Glendale, CA
- NPI 1649007865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729123200000",
"number": "1174291298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23147 VENTURA BLVD STE 150",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913641112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23147 VENTURA BLVD STE 150",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913641112",
"telephone_number": "424-447-2727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVEROS",
"first_name": "CAITLIN MARI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-02",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "013750",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "044680",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "305671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.