Christian Olivares Physical Therapy Services PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

CHRISTIAN OLIVARES PHYSICAL THERAPY SERVICES PC

Practice address

13915 34TH Ave
Basement
Flushing, NY 11354-3273

Phone

(347) 542-3435

NPI assigned

Jan 31, 2017

Organization subpart

No

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

Authorized official

Name

Christian OlivaresNPI 1285718247

Title

Owner

Phone

(347) 542-3435

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christian Bancaya Olivares, PT

  • Physical Therapist
  • Westbury, NY
  • NPI 1285718247
  Medicare reassignment Authorized official
• Dante Acebo Cubangbang, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Flushing, NY
  • NPI 1770582124
  NPD (past)
• Richard Huynh, D.O.

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
  • NPI 1023541216

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1184161986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13915 34TH AVE",
            "address_2": "BASEMENT",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13915 34TH AVE",
            "address_2": "BASEMENT",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543273",
            "telephone_number": "347-542-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN OLIVARES PHYSICAL THERAPY SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-31",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "OLIVARES",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-542-3435"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahbub Elahi Chowdhury, MD
• Lawrence T. Choy, MD
• Sylvia S Choy, O.D.
• Sarah Chriqui
• Christer Shang Liu, M.D. P.C.
• Christian Olivares Physical Therapy, PC
• Christian Olivares Rehab PT Services, P.C.
• Eric Chrostowski
• Alex Michael Chu, MD
• Chien Jung June Chu, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.