Individual provider Active NPI

Olivia Dewey, PT, DPT

  • Physical Therapist
  • Port Orange, FL
National Provider Identifier
1821712951
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT38679 Issued in FL
Practice address
1402 Dunlawton Ave
Port Orange, FL 32127-2917
Phone
(386) 310-4839
NPI assigned
Oct 3, 2022
Last updated
Oct 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT38679 FL Primary

Addresses

Primary practice location

1402 Dunlawton Ave
Port Orange, FL 32127-2917

Mailing address

109 N Paul Revere Dr
Daytona Beach, FL 32119-1484
Phone (803) 493-9263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221012004072 FL Practitioner - Physical Therapist in Private Practice 8426424631 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT38679FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University Rehabilitation, LLC Physical Therapist CurrentSince Oct 2, 2023 Accepting new patients
Florehab Center LLC Physical Therapist CurrentSince Oct 3, 2022 Accepting new patients

Locations

739 S Nova Rd
Ste 739741
Ormond Beach, FL 32174
Phone (386) 671-2626

1402 Dunlawton Ave
Ste 4D
Port Orange, FL 32127
Phone (386) 671-2626

733 Dunlawton Ave
Ste 103
Port Orange, FL 32127
Phone (386) 756-0077

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1821712951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 N PAUL REVERE DR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321191484",
            "telephone_number": "803-493-9263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 DUNLAWTON AVE",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321272917",
            "telephone_number": "386-310-4839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWEY",
        "first_name": "OLIVIA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT38679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.