Ryan M Oliver, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

047742-01 Issued in NY

Practice address

2504 Genesee St
Utica, NY 13502-5832

Phone

(315) 765-0063

Fax

(315) 765-0201

NPI assigned

Oct 20, 2021

Sex

Male

Sole proprietor

Yes

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

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oliver Physical Therapy, PLLCGroup PAC ID 0446671127, 7 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.

• Oliver Physical Therapy, PLLC

  • Physical Therapist
  • Utica, NY
  • NPI 1831720762

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1952064545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025832",
            "telephone_number": "315-765-0063",
            "fax_number": "315-765-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025832",
            "telephone_number": "315-765-0063",
            "fax_number": "315-765-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "RYAN",
        "middle_name": "M",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "047742-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faith Aserorie Olasoju, MD
• Melissa Oleniuch
• Gina Marie Olivadese, RN
• Oliver Physical Therapy, PLLC
• Kirsten Oliver, PA-C
• Allison Jill Olivier
• Nicole Ollerenshaw, LMHC
• Jarrod Olmstead
• Kayleigh Olsen
• Florin Olteanu, MD

• Physical Therapist in Utica, NY
• Providers in Utica, 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 Oct 20, 2021; 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.