Glenda Jean Olivio

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1999139427 Issued in MO

Practice address

11960 Westline Industrial Dr Ste 201
Saint Louis, MO 63146-3209

Phone

(314) 819-0480

NPI assigned

Dec 8, 2008

Sex

Female

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 MO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Core Rehab and Wellness, LLC

  • Physical Therapist
  • Weldon Spring, MO
  • NPI 1144867086
  Medicare reassignment NPD
• Supplemental Health Care

  • Physical Therapy Clinic/Center
  • Saint Louis, MO
  • NPI 1700172400
  NPD (past)

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

{
    "created_epoch": "1228694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228694400000",
    "number": "1487899290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17234 THUNDER VALLEY DR",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630252205",
            "telephone_number": "636-549-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11960 WESTLINE INDUSTRIAL DR STE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463209",
            "telephone_number": "314-819-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVIO",
        "first_name": "GLENDA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-08",
        "last_updated": "2008-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "1999139427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rena Trinez Oliver
• Stephanie Oliver
• Theresa Marie Oliver, OD
• Lindsay C Olivera, FNP, APRN
• Jan Susan Olivier, DMD
• Paul David Olivo, M.D.
• Emily Olivos, MSW, LCSW
• Robert Joseph Olk, MD
• Henry G Ollinger, M.D.
• Matthew P Olocco, MD

• Physical Therapist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; 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.