Christian Bancaya Olivares, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

021803 Issued in NY

Practice address

23 Lace LN
Westbury, NY 11590-6314

Phone

(646) 431-5900

NPI assigned

Oct 25, 2006

Sex

Male

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

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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.

• Mobility Pro PT PC

  • Physical Therapist
  • Scarsdale, NY
  • NPI 1528537891
  Medicare reassignment NPD Authorized official
• Scarsdale Wellness PT PC

  • Physical Therapist
  • Scarsdale, NY
  • NPI 1649135435
  Medicare reassignment NPD Authorized official
• Christian Olivares Physical Therapy Services PC

  • Physical Therapist
  • Flushing, NY
  • NPI 1184161986
  Medicare reassignment Authorized official
• Epic Long Island

  • Voluntary or Charitable Agency
  • East Meadow, NY
  • NPI 1174563936
  Medicare reassignment NPD
• Epic Medical Services PC

  • Specialist
  • East Meadow, NY
  • NPI 1134589609
  Medicare reassignment NPD
• Christian Olivares Rehab PT Services, P.C.

  • Physical Therapist
  • Flushing, NY
  • NPI 1467729624
  NPD (past) Authorized official
• Epilepsy Foundation of L.I.

  dba E.P.I.C. Clinical Care

  • Voluntary or Charitable Agency
  • Garden City, NY
  • NPI 1467755785
  NPD
• Huynh Medical, PLLC

  • Rehabilitation Clinic/Center
  • Flushing, NY
  • NPI 1093386724
  NPD (past)
• Plaza One Medical Healthcare PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Brooklyn, NY
  • NPI 1932422680
  NPD (past)
• United Wellness Medical, P.C.

  • Physical Medicine & Rehabilitation Physician
  • Flushing, NY
  • NPI 1114100773
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285718247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 LACE LN",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115906314",
            "telephone_number": "516-385-8396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 LACE LN",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115906314",
            "telephone_number": "646-431-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVARES",
        "first_name": "CHRISTIAN",
        "middle_name": "BANCAYA",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "021803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Ofsharick
• Nnenna Ogbonna
• Ogl Holdings, LLC
• Lisette Oglesby
• Old Country Pharmacy Inc. (Parkside Pharmacy)
• Heidy Olivo
• Tara B Olson, OTR/L
• One Source M Edia
• Jeniffer J Orlowski
• Orthotic Services for Children, Inc.

• Physical Therapist in Westbury, NY
• Providers in Westbury, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.