Olivia Julie Deysher, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT025739 Issued in PA

Practice address

2101 State Hill Rd
Wyomissing, PA 19610-1993

Phone

(484) 628-0300

NPI assigned

Aug 12, 2015

Last updated

Feb 3, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Olivia Julie Snyder Former name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fox Rehabilitation Services Inc

  • Physical Therapist
  • Wilmington, DE
  • NPI 1326092503

  PA

  Medicare reassignment NPD

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486080000000",
    "number": "1467828681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 BICK RD",
            "city": "FLEETWOOD",
            "state": "PA",
            "postal_code": "195229741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 STATE HILL RD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101993",
            "telephone_number": "484-628-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEYSHER",
        "first_name": "OLIVIA",
        "middle_name": "JULIE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-12",
        "last_updated": "2017-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "7860",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT025739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLIVIA",
            "last_name": "SNYDER",
            "middle_name": "JULIE",
            "prefix": "DR.",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Trudy M Demko, MD
• Julian K Derr, CRNP
• Daniel L Derrer, LMFT
• Denise Elaine Desantis, LCSW
• Ned Peter Devlin, D.C.
• DGR Management Inc.
• Steven R Diak, DMD
• Diakon Lutheran Social Ministries (Diakon Home Health - Wyomissing)
• Kellyann Diaz Cid
• Tamara Diaz-Cid

• Physical Therapist in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.