Individual provider Active NPI

Hector Olguin, D.P.T.

  • Physical Therapist
  • Hemet, CA
National Provider Identifier
1255616199
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT38238 Issued in CA
Practice address
1515 W Florida Ave
Suite E
Hemet, CA 92543-3817
Phone
(951) 658-3121
Fax
(951) 652-6994
NPI assigned
Oct 11, 2011
Last updated
Jan 28, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT38238 CA Primary

Addresses

Primary practice location

1515 W Florida Ave
Suite E
Hemet, CA 92543-3817

Mailing address

1545 W Florida Ave
Hemet, CA 92543-3814
Phone (951) 791-1111

Other identifiers 1

IdentifierTypeStateIssuer
PT38238OtherCALICENSE

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

LicenseStateTypeSpecialty
PT38238CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Sports Institute Dennis L. Rohrig PT & Associates, in Physical Therapist PastSince Oct 1, 2011 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422403200000",
    "number": "1255616199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 W FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433814",
            "telephone_number": "951-791-1111",
            "fax_number": "951-925-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 W FLORIDA AVE",
            "address_2": "SUITE E",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433817",
            "telephone_number": "951-658-3121",
            "fax_number": "951-652-6994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLGUIN",
        "first_name": "HECTOR",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-11",
        "last_updated": "2015-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT38238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PT38238",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.