Active NPI
Marivi O Oliveros, PT
- Specialist
- Winter Springs, FL
National Provider Identifier
1366602633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 005717
- Practice address
- 352 Twelve Oaks Dr
Winter Springs, FL 32708-6192 - Phone
- (407) 327-3521
- NPI assigned
- Jun 11, 2008
- Last updated
- Oct 1, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 005717 | FL | Primary |
| Physical Therapist | 225100000X | PT5717 | FL |
Addresses
Primary practice location
352 Twelve Oaks Dr
Winter Springs, FL 32708-6192
Mailing address
352 Twelve Oaks Dr
Winter Springs, FL 32708-6192
Phone (407) 327-3521
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
| License | State | Type | Specialty |
|---|---|---|---|
| 005717 | FL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Numed Care PA | Past | 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.
-
- Physical Medicine & Rehabilitation Physician
- Maitland, FL
- NPI 1275713802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222819200000",
"number": "1366602633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "352 TWELVE OAKS DR",
"city": "WINTER SPRINGS",
"state": "FL",
"postal_code": "327086192",
"telephone_number": "407-327-3521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "352 TWELVE OAKS DR",
"city": "WINTER SPRINGS",
"state": "FL",
"postal_code": "327086192",
"telephone_number": "407-327-3521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVEROS",
"first_name": "MARIVI",
"middle_name": "O",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-11",
"last_updated": "2008-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "005717",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT5717",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Springs, FL
- Jodie M Norwood, PT
- Erin O'Connell, ED.S.
- Toni O'Connell
- Gina Foronda Obmana, M.D.
- Olay Home and Facility Bath Services
- Orlando Carenow Urgent Care LLC
- Orlando Health Medical Group Inc
- Orlando in Home Therapy Group, LLC
- Orlando Pain & Med Rehab Ctr Inc (Orlando Pain & Medical Rehabilitation Center)
- Orlando Physicians Network Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.