Maria Olague, PTA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

30940 Issued in FL

Practice address

1010 US 27 N
Avon Park, FL 33825-2556

Phone

(863) 453-5200

NPI assigned

Jun 1, 2021

Last updated

Jun 1, 2021By the provider in NPPES

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

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1285200295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 ILLINOIS AVE",
            "city": "WAUCHULA",
            "state": "FL",
            "postal_code": "338732126",
            "telephone_number": "863-448-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 US 27 N",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338252556",
            "telephone_number": "863-453-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAGUE",
        "first_name": "MARIA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "30940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Paterson Morse Sr., M.D.
• MP Primary Care Services
• William A Mulholland, CNP
• National Mentor Healthcare, LLC (Florida Mentor)
• Oakcrest Health Research Institute PLLC
• Leslie E Owens
• Carmelyna Padilla
• Palm Medical Center Lakeland LLC (Palm Medical Centers)
• Claudia Palmer, FNP-BC
• John E Palsgrove, D.D.S.

• Physical Medicine & Rehabilitation Physician in Avon Park, FL
• Providers in Avon Park, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.