MR. JEFFREY MICHAEL OLIVO (NPI# 1629253851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629253851 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY MICHAEL OLIVO |
| Credential | P.T. |
| Practice Address |
3840 Peachtree Industrial Blvd Ste 120 Duluth GA 30096-5031 |
| Mailing Address |
Po Box 923387 Norcross GA 30010-3387 |
| Practice Telephone | 6785841622 |
| Practice Fax Number | 6785841673 |
| Mailing Telephone | 6785841622 |
| Mailing Fax Number | 6785841673 |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2009-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT005486 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3840 PEACHTREE INDUSTRIAL BLVD STE 120 |
| City | DULUTH |
| State | GA |
| Zip Code | 30096-5031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922124106 | Alvis Tederrall Perry | Anesthesiology | 3840 Peachtree Industrial Blvd, Suite 220, Duluth, GA 30096-5031 | 2007-03-21 |
| 1154783785 | Us Medical Imaging, LLC | Physiological Laboratory | 3840 Peachtree Industrial Blvd, Suite 110, Duluth, GA 30096-5031 | 2016-03-23 |
| 1043567217 | New Hope Adult Day Care, L.L.C. | Clinic/Center | 3840 Peachtree Industrial Blvd, Suite 120, Duluth, GA 30096-5031 | 2012-08-07 |
| 1831465426 | Aa-pain Management P.C. | Clinic/Center | 3840 Peachtree Industrial Blvd, Suite 220, Duluth, GA 30096-5031 | 2012-03-28 |
| 1104125202 | Eunjoo Bae | Dentist | 3840 Peachtree Industrial Blvd, Suite 320, Duluth, GA 30096-5031 | 2011-03-15 |
| 1215235726 | Freedom 11, LLC | Dentist | 3840 Peachtree Industrial Blvd, 320, Duluth, GA 30096 | 2011-03-08 |
| 1710280656 | New Gyn LLC | Clinic/Center | 3840 Peachtree Industrial Blvd, 275, Duluth, GA 30096-5031 | 2010-12-15 |
| 1528370970 | Healthtrac Family Wellness | Chiropractor | 3840 Peachtree Industrial Blvd, Suite 210, Duluth, GA 30096-5031 | 2010-07-13 |
| 1346568631 | A. Louis Jimenez, Dpm, PC | Podiatrist | 3840 Peachtree Industrial Blvd, Suite 200, Duluth, GA 30096-5031 | 2010-05-11 |
| 1023207636 | Chi K Hui | Chiropractor | 3840 Peachtree Industrial Blvd, Suite 210, Duluth, GA 30096-5031 | 2007-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
| 1568090868 | Positive Behavior Services, Inc | Behavior Technician | 3765 Crestwood Pkwy Nw, Duluth, GA 30096 | 2020-03-31 |
| 1861031940 | Elizabeth Ashley Edouard | Counselor | 3464 Duluth Hwy 120, Duluth, GA 30096 | 2020-01-06 |
| 1245701044 | Kathryn Irene Vaughn | Social Worker | 3968 Mainsail Court, Duluth, GA 30096 | 2018-12-06 |
| 1083184626 | Aica Orthopedics, P.C. | Orthopaedic Surgery | 3775 Venture Drive Bldg F, Duluth, GA 30096 | 2018-11-27 |
| 1245709799 | Positive Impact Health Centers, Inc. | Pharmacy | 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 | 2018-11-14 |
| 1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
| 1710467857 | Envision Optics LLC | Optometrist | 1943 Pleasant Hill Rd, Duluth, GA 30096 | 2018-08-17 |
| 1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
| 1053839456 | Rogers Bridge Pediatric Therapy, LLC | Clinic/Center | 2845 Summercrest Ln, Duluth, GA 30096 | 2017-09-06 |
| Find all providers in zip 30096 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578010815 | Jihwan Lee | Physical Therapist | 3473 Old Norcross Rd Ste 306, Duluth, GA 30096-4664 | 2016-09-03 |
| 1679199459 | Align Physical Therapy LLC | Physical Therapist | 3400 Mcclure Bridge Rd, Bld D,ste A, Duluth, GA 30096-3009 | 2020-06-17 |
| 1386288058 | Jason Chong | Physical Therapist | 3655 Howell Ferry Rd Ste 300, Duluth, GA 30096-3186 | 2019-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100479 | Production Physicos,llc | Physical Therapist | 461 Sandy Creek Rd Ste 1102, Fayetteville, GA 30214-4284 | 2020-09-28 |
| 1710593819 | David Spellings | Physical Therapist | 3991 Us-78, Suite 200, Snellville, GA 30039 | 2020-09-23 |
| 1841801644 | Noah Konner Lindsey | Physical Therapist | 5270 Peachtree Pkwy Ste 116, Norcross, GA 30092-2558 | 2020-08-14 |
| 1942810106 | Caitlin M Hesse | Physical Therapist | 4480 S Cobb Dr Se Ste Y, Smyrna, GA 30080-6984 | 2020-08-03 |
| 1669007316 | Dynamic Swing Performance, LLC | Physical Therapist | 2031 Cobblestone Cir Ne, Brookhaven, GA 30319-4909 | 2020-03-03 |
| 1356810113 | Ryan Daniel Ahlenius | Physical Therapist | 6360 Dove Dr, Loganville, GA 30052-3031 | 2018-11-21 |
| 1720557127 | Dr. Tiffany Lamonde LLC | Physical Therapist | 1445 Haw Creek Circle, Suite 503, Cumming, GA 30041 | 2018-11-15 |
| 1700363686 | Jason Y Kawamura | Physical Therapist | 2300 Liam Ave Ste 103, Dacula, GA 30019-2265 | 2018-07-24 |
| 1649766528 | Carrie Elizabeth Dendtler | Physical Therapist | 320 Montgomery Ave, Alpharetta, GA 30004-3163 | 2018-07-03 |
| 1558853085 | Re Generate Physiotherapy, LLC | Physical Therapist | 1240 Ga-54, Building 700, Fayetteville, GA 30214 | 2018-05-31 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.