Dominic Frank Olivo, | |
30 Old Brookside Rd, Randolph, NJ 07869-3604 | |
(973) 945-5282 | |
Not Available |
Full Name | Dominic Frank Olivo |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 30 Old Brookside Rd, Randolph, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548500275 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 40QA01442500 (New Jersey) | Primary |
225100000X | Physical Therapist | 034959 (New York) | Secondary |
Provider Name | Kinetic Home Therapy Services Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1528788502 PECOS PAC ID: 5496131872 Enrollment ID: O20221008000489 |
Mailing Address | Practice Location Address |
---|---|
Dominic Frank Olivo, 30 Old Brookside Rd, Randolph, NJ 07869-3604 Ph: (973) 945-5282 | Dominic Frank Olivo, 30 Old Brookside Rd, Randolph, NJ 07869-3604 Ph: (973) 945-5282 |
Tyler Faede, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 711 Route 10 E Ste 200, Randolph, NJ 07869 Phone: 973-584-3191 Fax: 908-359-6761 | |
Matthew Richard Amos, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 121 Center Grove Rd Ste 8, Randolph, NJ 07869 Phone: 973-361-5599 | |
Professional Occupational & Physical Therapy, Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 390 State Route 10 Ste 202, Randolph, NJ 07869 Phone: 973-895-9925 Fax: 973-895-9927 | |
Ms. Kristine P Pepino, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 588 Route 10 West, Randolph, NJ 07869 Phone: 973-366-6615 Fax: 973-366-9427 | |
Dr. Mansi A Patel, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 16 Old Brookside Rd Ste 7, Randolph, NJ 07869 Phone: 908-955-3052 Fax: 908-952-2014 | |
Jennifer E Bua, MSPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2 Emery Ave, Suite 3, Randolph, NJ 07869 Phone: 973-895-9925 Fax: 973-895-9927 | |
Karen E Como, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 Emery Ave, Suite 3, Randolph, NJ 07869 Phone: 973-895-9925 Fax: 973-895-9927 |