Charles A Oliver, DC, MPT

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

11109 Issued in TX

Practice address

930 Proton Rd
Suite 104
San Antonio, TX 78258-4231

Phone

(210) 545-1810

Fax

(210) 545-1811

NPI assigned

Apr 6, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• New Braunfels Physical Therapy Inc

  • Physical Therapist
  • San Antonio, TX
  • NPI 1629210760
  Medicare reassignment NPD Authorized official
• New Braunfels Physical Therapy, Inc.

  • Chiropractor
  • San Antonio, TX
  • NPI 1114157237
  NPD Authorized official

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238976000000",
    "number": "1386886422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 PROTON RD",
            "address_2": "SUITE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584231",
            "telephone_number": "210-545-1810",
            "fax_number": "210-545-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 PROTON RD",
            "address_2": "SUITE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584231",
            "telephone_number": "210-545-1810",
            "fax_number": "210-545-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "CHARLES",
        "middle_name": "A",
        "credential": "DC, MPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-06",
        "last_updated": "2009-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "11109",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1125649",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris T Oliveira
• Erica R Oliveira, DDS MPH
• Aimee Aquino Oliver, DO
• Ashley Oliver, PHARMD
• Boyce B. Oliver, M.D.
• Chase Mackin Oliver, DC
• Dennis Carey Oliver, MD
• Devyonn Oliver, BCBA
• Elexis Oliver
• Emily Oliver, DC

• Rehabilitation Chiropractor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Rehabilitation Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; 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.