Active NPI
Marisa Olmo
- Physical Therapist
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1369816
- Practice address
- 411 N Washington Ave
Dallas, TX 75246-1713 - Phone
- (945) 468-9009
- NPI assigned
- Aug 29, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1369816 | TX | Primary |
Addresses
Primary practice location
411 N Washington Ave
Dallas, TX 75246-1713
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Other practice location 1
4015 Lemmon Ave
Dallas, TX 75219-3737
Phone (972) 979-6577
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1369816 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empower Physical Therapy TX LLC | Physical Therapist | Current | Accepting new patients |
| Orthotx, PLLC | Current | Accepting new patients | |
| DPT Holdings, LLC | Physical Therapist | Current | Accepting new patients |
| Ideal Physical Therapy of Texas LLC | Physical Therapist | Current | Accepting new patients |
| Ideal Physical Therapy of Texas LLC | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
24014 W Renwick Rd
Ste 206
Plainfield, IL 60544
17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561
4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325
379 E FM 1382
Ste 100
Cedar Hill, TX 75104
Phone (972) 460-4490
5718 Spohn Dr
Ste 200
Corpus Christi, TX 78414
Phone (361) 906-2062
7999 W Virginia Dr
Ste D
Dallas, TX 75237
Phone (972) 709-6911
4015 Lemmon Ave
Dallas, TX 75219
Phone (469) 872-7461
2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462
3445 Golden Triangle Blvd
Ft Worth, TX 76177
Phone (817) 812-3007
8150 Highway 26
North Richlnd Hls, TX 76180
Phone (817) 349-2777
Organizations & group practices 5
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.
-
- Physical Therapist
- North Richland Hills, TX
- NPI 1588205033
-
dba ATI Physical Therapy
- Physical Therapist
- Plano, TX
- NPI 1538573746
-
- Durable Medical Equipment & Medical Supplies
- Murphy, TX
- NPI 1902773161
-
- Durable Medical Equipment & Medical Supplies
- Desoto, TX
- NPI 1437372323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716336000000",
"number": "1588449466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 N WASHINGTON AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752461713",
"telephone_number": "945-468-9009"
}
],
"practiceLocations": [
{
"address_1": "4015 Lemmon Ave",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752193737",
"country_code": "US",
"telephone_number": "972-979-6577",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLMO",
"first_name": "MARISA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-29",
"last_updated": "2024-05-22",
"certification_date": "2024-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1369816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.