Kevin Jake Torres Olis, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

053108 Issued in NY

Practice address

1081 Old Country Rd
Riverhead, NY 11901-2019

Phone

(631) 740-9200

NPI assigned

Mar 8, 2025

Last updated

Mar 10, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Within Normal Limits Physical Therapy P.C.Group PAC ID 1850433368, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Within Normal Limits Physical Therapy P.C.

  • Physical Therapy Clinic/Center
  • Mineola, NY
  • NPI 1508000811
  Medicare reassignment Care Compare group NPD
• Riverhead Chiropractic and Physical Therapy PLLC

  dba Spine & Muscle

  • Chiropractor
  • Riverhead, NY
  • NPI 1316571573

  Physical Therapist

  NPD

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

{
    "created_epoch": "1741392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1942009469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 QUANTUCK BAY RD",
            "city": "WESTHAMPTON BEACH",
            "state": "NY",
            "postal_code": "119781604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081 OLD COUNTRY RD",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012019",
            "telephone_number": "631-740-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIS",
        "first_name": "KEVIN JAKE",
        "middle_name": "TORRES",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-08",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "053108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nutan Anand, MD, PC (Long Island Diagnostic Imaging)
• Christine Marie O'Donoghue- Kitt, MD
• Brianne O'Malley
• Harim Irene Ok, DO
• Dhivya Olamana, PHARMD
• Victoria Oliver
• Jennifer Renee Oliveri, MSPT
• Victor Adeola Olujimi, M.D.
• Anne Marie Ondricek, MD
• Jennifer Swan Oneill, NP

• Physical Therapist in Riverhead, NY
• Providers in Riverhead, NY by specialty
• Physical Therapist in New York

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