Individual provider Active NPI

Donald R. Oliver, PHYSICAL THERAPIST

  • Physical Therapist
  • Kingsville, TX
National Provider Identifier
1528083136
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1132884 Issued in TX
Practice address
1028 S 14TH St
Kingsville, TX 78363-6422
Phone
(361) 815-1302
Fax
(361) 232-4964
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1132884 TX Primary

Addresses

Primary practice location

1028 S 14TH St
Kingsville, TX 78363-6422

Mailing address

6110 Sylling Dr
Corpus Christi, TX 78414-6128
Phone (361) 815-1302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100826000936 TX Practitioner - Physical Therapist in Private Practice 8123142288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1028 S 14TH St
Kingsville, TX 78363-6422
Phone (361) 488-6335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oliver Physical Therapy and Sports Medicine Centers Inc CurrentSince Jun 19, 2013 Accepting new patients
Humpal Physical Therapy, P.C. Physical Therapist PastSince Dec 11, 2013 Accepting new patients

Locations

14241 Northwest Blvd
Ste 101
Corpus Christi, TX 78410
Phone (361) 933-0600

1028 S 14th St
Kingsville, TX 78363
Phone (361) 488-6335

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372377600000",
    "number": "1528083136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6110 SYLLING DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784146128",
            "telephone_number": "361-815-1302",
            "fax_number": "361-232-4964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 S 14TH ST",
            "city": "KINGSVILLE",
            "state": "TX",
            "postal_code": "783636422",
            "telephone_number": "361-815-1302",
            "fax_number": "361-232-4964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "DONALD",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2013-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1132884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; 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.