Oliver Jay Realino in Ogdensburg - Sports
Oliver Jay Realino - NPI 1114121076
Oliver Jay Realino is a Sports in Ogdensburg, New Jersey. Oliver Jay Realino practices all healthcare services and medical treatments related to Sports. The NPI Number for Oliver Jay Realino is 1114121076. The last update date is 2023-08-21.
Oliver Jay Realino's current location address is 4 Jefferson Ter, Ogdensburg, New Jersey. You can contact this provider via phone number 9179158420. The mailing address for Oliver Jay Realino is 4 Jefferson Ter, Ogdensburg, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Oliver Jay Realino |
|---|---|
| Address | 4 Jefferson Ter, Ogdensburg, New Jersey |
| Phone Number | 9179158420 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DPT |
NPI Number Detail
| NPI Number | 1114121076 |
|---|---|
| Provider Enumeration Date | 2007-06-13 |
| Last Updated Date | 2023-08-21 |
Provider Mailing Address Detail
| Address | 4 Jefferson Ter |
|---|---|
| City | Ogdensburg |
| State | New Jersey (NJ) |
| Post Code | 74391033 |
| Phone Number | 9179158420 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports |
|---|---|
| Taxonomy | 2251S0007X |
| Licence No | 24825 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, patholog |
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Post Comment/ Review Below
What is the unique identifier code issued to Oliver Jay Realino by the Centers for Medicare & Medicaid Services (CMS)?
The Oliver Jay Realino has been assigned the NPI (National Provider Identifier) 1114121076. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Oliver Jay Realino's facilities are situated?
The facilities of Oliver Jay Realino are physically located at the following address: 4 Jefferson Ter, Ogdensburg, NJ, 74391033.
What is Oliver Jay Realino's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Oliver Jay Realino is Sports, and the taxonomy code that categorizes this field of expertise is 2251S0007X.
When was the Oliver Jay Realino's 1114121076 issued?
The Oliver Jay Realino's 1114121076 was issued on 2007-06-13.
As of what date were the details pertaining to Oliver Jay Realino last refreshed?
The information related to the Oliver Jay Realino, including its address, specialty, and other relevant details, was last updated on 2023-08-21.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY