Olivia Isabel Olivares, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A-1883 Issued in NV

Practice address

10630 Dean Martin Dr Ste 120
Las Vegas, NV 89141-3595

Phone

(725) 254-1330

NPI assigned

Jun 16, 2026

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1781568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1659206928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10630 DEAN MARTIN DR STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891413595",
            "telephone_number": "725-254-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10630 DEAN MARTIN DR STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891413595",
            "telephone_number": "725-254-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVARES",
        "first_name": "OLIVIA",
        "middle_name": "ISABEL",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-16",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NV",
            "license": "A-1883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Olivares
• Kimberly Olivares, BA
• Mayra Olivares, OTR/L
• Mercedes Olivares
• Mercedes Olivares
• Conception Olivarez
• Bruny Olivas
• Danielle Olivas
• Debra Lynn Olivas
• Denisha Olivas

• Physical Therapy Assistant in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physical Therapy Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.