Active NPI
Oliver Evangelista Madrid, PT
- Physical Therapist
- Arcadia, CA
National Provider Identifier
1700181195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 35897
- Practice address
- 900 S 1St Ave
Suite C
Arcadia, CA 91006-3919 - Phone
- (626) 566-2750
- Fax
- (626) 566-2756
- NPI assigned
- Jan 17, 2011
- Last updated
- Feb 2, 2011
- Sex
- Male
- 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 | 35897 | CA | Primary |
Addresses
Primary practice location
900 S 1St Ave
Suite C
Arcadia, CA 91006-3919
Mailing address
950 Arcadia Ave Apt 11
Arcadia, CA 91007-7112
Phone (626) 321-7076
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 |
|---|---|---|---|
| 35897 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296604800000",
"number": "1700181195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 ARCADIA AVE APT 11",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910077112",
"telephone_number": "626-321-7076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 S 1ST AVE",
"address_2": "SUITE C",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910063919",
"telephone_number": "626-566-2750",
"fax_number": "626-566-2756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADRID",
"first_name": "OLIVER",
"middle_name": "EVANGELISTA",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-17",
"last_updated": "2011-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "35897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.