NPIMap

Organization Active NPI

Oliver Physical Therapy, PLLC

  • Physical Therapist
  • Utica, NY
National Provider Identifier
1831720762
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
OLIVER PHYSICAL THERAPY, PLLC
Practice address
2504 Genesee St
Utica, NY 13502-5832
Phone
(315) 765-0063
NPI assigned
Jan 29, 2020
Last updated
Jan 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Authorized official

Name
Dr. Virginia Oliver, PTNPI 1831735083
Title
Owner
Phone
(315) 527-1851

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 Therapist 225100000X NU Primary

Addresses

Primary practice location

2504 Genesee St
Utica, NY 13502-5832

Mailing address

3755 Arquint Rd
Vernon Center, NY 13477-3506
Phone (315) 527-1851

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200604002180 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0446671127 Receives reassigned benefits from 8 practitioners
Practice locations: Utica, NY; Oneida, NY

National Provider Directory

National Provider Directory

Locations

1145 Glenwood Ave
Ste 1B
Oneida, NY 13421
Phone (315) 765-0063

Practitioners & affiliated clinicians

Practitioners 8

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": "1580256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580256000000",
    "number": "1831720762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 ARQUINT RD",
            "city": "VERNON CENTER",
            "state": "NY",
            "postal_code": "134773506",
            "telephone_number": "315-527-1851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025832",
            "telephone_number": "315-765-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVER PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-527-1851",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.