Teresa Marie Olivas, PT, MPT

Primary specialty

Clinical Electrophysiology Physical TherapistTaxonomy code 2251E1300X

License

3287 Issued in NM

Practice address

2404 S Locust St
Suite 5
Las Cruces, NM 88001-5789

Phone

(505) 521-4188

Fax

(505) 521-3668

NPI assigned

Aug 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NM, TX2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwest Sport and Spine Center IncGroup PAC ID 5496656563, 21 clinicians

Real View Diagnostics LLCGroup PAC ID 4082081450, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southwest Sport and Spine Center Inc

  • Physical Therapist
  • Las Cruces, NM
  • NPI 1164475208

  TX

  Medicare reassignment Care Compare group NPD
• Real View Diagnostics LLC

  • Physical Therapist
  • Canutillo, TX
  • NPI 1336882026

  NM

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1881707347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 S LOCUST ST",
            "address_2": "SUITE 5",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015789",
            "telephone_number": "505-521-4188",
            "fax_number": "505-521-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 S LOCUST ST",
            "address_2": "SUITE 5",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015789",
            "telephone_number": "505-521-4188",
            "fax_number": "505-521-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVAS",
        "first_name": "TERESA",
        "middle_name": "MARIE",
        "credential": "PT, MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "3287",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NM",
            "license": "3287",
            "primary": false
        },
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "NM",
            "license": "3287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21307580",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NM",
            "identifier": "NM00Q602",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lourdes Olivas
• Marisol Olivas
• Nancy W Olivas, MA, LPCC, LADAC
• Nicolasa Olivas
• Sandra Olivas, LCSW
• Audrey Oliver
• Marcia A Oliver
• Olivia Serna
• Madelyn Olmsted
• Cristine Marie Olson, SLP

• Clinical Electrophysiology Physical Therapist in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Clinical Electrophysiology Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.