Olympic Rehab Center

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT15084 Issued in CA

Legal business name

OLYMPIC REHAB CENTER

Practice address

1314 W Glenoaks Blvd
Suite 204
Glendale, CA 91201-3146

Phone

(818) 204-8797

NPI assigned

May 26, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Marek W Piatkowski-Nazarro

Title

Physical Therapist

Phone

(323) 204-8797

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324512000000",
    "number": "1407149164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 W GLENOAKS BLVD",
            "address_2": "SUITE 204",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912013146",
            "telephone_number": "818-204-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 W GLENOAKS BLVD",
            "address_2": "SUITE 204",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912013146",
            "telephone_number": "818-204-8797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIC REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-26",
        "last_updated": "2011-12-22",
        "status": "A",
        "authorized_official_last_name": "PIATKOWSKI-NAZARRO",
        "authorized_official_first_name": "MAREK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "323-204-8797",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT15084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT",
            "identifier": "PT15084",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sevak Olmessekian
• Thomas Christopher Olona, PH.D.
• Debra Olsen, HAP
• Kristen Olsen, LMFT
• Raymond Olvera
• Omega Hospice Care, Inc.
• Omni Surgery Center, Inc.
• On Time Health Care, Inc.
• On Time Medical Equipment & Supply
• Oncology Physicians Network of California PC

• Physical Therapy Clinic/Center in Glendale, CA
• Providers in Glendale, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; 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.