Organization Active NPI

Oliver Physical Therapy and Sports Medicine Centers Inc

  • Physical Therapy Clinic/Center
  • Kingsville, TX
National Provider Identifier
1710326863
Registry record updated Jun 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
OLIVER PHYSICAL THERAPY AND SPORTS MEDICINE CENTERS INC
Practice address
1028 S 14TH St
Kingsville, TX 78363-6422
Phone
(361) 815-1302
NPI assigned
Jun 21, 2013
Last updated
Jun 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2013

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

Authorized official

Name
Mr. Donald R Oliver, P.T.NPI 1528083136
Title
President
Phone
(361) 815-1302

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU 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
O20130923000364 TX Part B Supplier - Clinic/Group Practice 5496999013 Receives reassigned benefits from 2 practitioners
Practice locations: Corpus Christi, TX; Kingsville, TX

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371772800000",
    "number": "1710326863",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVER PHYSICAL THERAPY AND SPORTS MEDICINE CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-21",
        "last_updated": "2013-06-21",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-815-1302",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "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 21, 2013; 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.

Verify at the official NPI Registry.