Ollie Menyetta Tolliver, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2095040 Issued in TX

Practice address

300 Crown Pointe Blvd
Weatherford, TX 76087-1160

Phone

(817) 757-1224

NPI assigned

Oct 10, 2018

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

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539129600000",
    "number": "1942775515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12609 PANORAMA DR",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287075",
            "telephone_number": "601-672-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CROWN POINTE BLVD",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760871160",
            "telephone_number": "817-757-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLLIVER",
        "first_name": "OLLIE",
        "middle_name": "MENYETTA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-10",
        "last_updated": "2018-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2095040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phyllis C Tiffin, MA, LPC
• Kaylee Timms
• Timothy L Huggins, M.D., P.a.
• Haley Nicole Tipps, PA
• Kristin Lynn Tollett, APRN
• Tom Annunziato, O.D., P.C. (1St Eye Care)
• Celimarie Torres, M.S. CCC-SLP
• Efrain Homero Torres Jr., CRNA
• Margaret Torti
• Adalinda Trevino

• Physical Therapy Assistant in Weatherford, TX
• Providers in Weatherford, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; 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.