Individual provider Active NPI

Jason Souza Oliveira, PT

  • Physical Therapist
  • Oakdale, CA
National Provider Identifier
1841892379
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
299421 Issued in CA
Practice address
157 N 5TH Ave
Oakdale, CA 95361-3128
Phone
(209) 844-5012
Fax
(209) 267-2225
NPI assigned
Nov 10, 2020
Last updated
Nov 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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 299421 CA Primary

Addresses

Primary practice location

157 N 5TH Ave
Oakdale, CA 95361-3128

Mailing address

PO Box 337
Oakdale, CA 95361-0337
Phone (209) 844-5012

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201116002712 CA Practitioner - Physical Therapist in Private Practice 2860803202 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Physical Therapy Institute, Inc.Group PAC ID 2264663822, 5 clinicians

Practice addresses (Care Compare)

3609 Oakdale Rd
Suite 3
Modesto, CA 95357-0718
Phone (209) 312-9591

4028 Dale Rd
Modesto, CA 95356-9561
Phone (209) 605-2771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
299421CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oliveira Sport and Orthopedic Physical Therapy Inc Physical Therapist CurrentSince Jan 20, 2026 Accepting new patients

Locations

157 N 5th Ave
Oakdale, CA 95361
Phone (209) 844-5012

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": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1841892379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 337",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953610337",
            "telephone_number": "209-844-5012",
            "fax_number": "209-267-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 N 5TH AVE",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953613128",
            "telephone_number": "209-844-5012",
            "fax_number": "209-267-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVEIRA",
        "first_name": "JASON",
        "middle_name": "SOUZA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-10",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.