Active NPI
Norell Oliver, PT, DPT
- Physical Therapist
- Jacksonville, FL
National Provider Identifier
1699259317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 33794
- Practice address
- 6639 Southpoint Pkwy Ste 103
Jacksonville, FL 32216-8042 - Phone
- (904) 296-4140
- NPI assigned
- Sep 19, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 33794 | FL | Primary |
Addresses
Primary practice location
6639 Southpoint Pkwy Ste 103
Jacksonville, FL 32216-8042
Mailing address
9765 Southbrook Dr Apt 2712
Jacksonville, FL 32256-0410
Phone (818) 939-9289
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33794 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634688000000",
"number": "1699259317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9765 SOUTHBROOK DR APT 2712",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322560410",
"telephone_number": "818-939-9289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6639 SOUTHPOINT PKWY STE 103",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322168042",
"telephone_number": "904-296-4140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "NORELL",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-19",
"last_updated": "2021-10-20",
"certification_date": "2021-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "33794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.