Irma Olivares, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

7215 Issued in CA

Practice address

301 E Vanderbilt Way Ste 100
San Bernardino, CA 92408-3556

Phone

(095) 672-6619

NPI assigned

Aug 8, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rapha Physical Therapy, Inc

  • Physical Therapist
  • Montclair, CA
  • NPI 1811047921
  NPD
• Rapha Rehabilities

  • Multi-Specialty Clinic/Center
  • Montclair, CA
  • NPI 1245718287
  NPD (past)

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

{
    "created_epoch": "1754611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1942185954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4959 PALO VERDE ST STE 109C",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632358",
            "telephone_number": "909-971-3092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E VANDERBILT WAY STE 100",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083556",
            "telephone_number": "095-672-6619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVARES",
        "first_name": "IRMA",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-08",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "7215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Olayo
• Roxxanne Marie Olea
• Favour Olekanma
• Jonathan David Olenick, M.D.
• Francey Oliva
• Nayely Olivares
• Erika A Olivas
• Evelyn Cora Faye Olive
• Elijah Oliver
• Michael Oliver, LCSW

• Occupational Therapy Assistant in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Occupational Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.