Individual provider Active NPI

Roberto Castillo Olayvar, PT

  • Physical Medicine & Rehabilitation Physician
  • Cambridge, OH
National Provider Identifier
1184004376
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
3759 Issued in OH
Practice address
59302 Claysville Rd
Cambridge, OH 43725-9340
Phone
(740) 432-4824
Fax
(740) 432-4004
NPI assigned
Jun 3, 2015
Last updated
Jun 3, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 3759 OH Primary

Addresses

Primary practice location

59302 Claysville Rd
Cambridge, OH 43725-9340

Mailing address

PO Box 1027
Cambridge, OH 43725-6027
Phone (740) 432-4824

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3759OHMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1184004376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1027",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437256027",
            "telephone_number": "740-432-4824",
            "fax_number": "740-432-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59302 CLAYSVILLE RD",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437259340",
            "telephone_number": "740-432-4824",
            "fax_number": "740-432-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAYVAR",
        "first_name": "ROBERTO",
        "middle_name": "CASTILLO",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-03",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "3759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.