OLIVIA PINE (NPI# 1033764303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033764303 |
| Entity Type | Individual |
| Full Name | OLIVIA PINE |
| Practice Address |
834 N Socora St Ste 1 Wichita KS 67212-3279 |
| Mailing Address |
200 W Douglas Ave Ste 1040 Wichita KS 67202-3017 |
| Practice Telephone | 3164403731 |
| Practice Fax Number | 3164403741 |
| Mailing Telephone | 3162630003 |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2019-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053690305 | Olivia Mary Pine | Psychologist | 123 E 7th St Apt 5e, New York, NY 10009-5747 | 2011-08-04 |
| Street Address |
834 N SOCORA ST STE 1 |
| City | WICHITA |
| State | KS |
| Zip Code | 67212-3279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316093610 | Nancy Diane Woodruff | Physical Therapist | 834 N Socora St Ste 1, Wichita, KS 67212-3279 | 2007-01-27 |
| 1720694896 | Benjamin Adam Morales | Physical Therapy Assistant | 834 N Socora St Ste 1, Wichita, KS 67212-3279 | 2020-09-23 |
| 1144865387 | Jill E Kelley | Physical Therapy Assistant | 834 N Socora St Ste 1, Wichita, KS 67212-3279 | 2019-11-12 |
| 1851941553 | Corey Paul Ratzlaff | Physical Therapist | 834 N Socora St Ste 1, Wichita, KS 67212-3279 | 2019-09-14 |
| 1376198622 | Matthew Truman | Physical Therapy Assistant | 834 N Socora St Ste 1, Wichita, KS 67212-3279 | 2019-08-05 |
| 1295291664 | Kara Lynn Aaby | Physical Therapist | 834 N Socora St Ste 1, Wichita, KS 67212-3278 | 2019-02-11 |
| 1710479183 | Ashton W Reichmann | Physical Therapist | 834 N Socora St Ste 1, Wichita, KS 67212-3279 | 2018-06-01 |
| 1750890992 | Bethany A Balzer | Physical Therapy Assistant | 834 N Socora St Ste 1, Wichita, KS 67212-3279 | 2017-09-20 |
| 1538557350 | Rikki Choate | Physical Therapist | 834 N Socora St Ste 1, Wichita, KS 67212-3279 | 2014-12-31 |
| 1063820702 | Stacey N Smith | Physical Therapist | 834 N Socora St Ste 1, Wichita, KS 67212-3279 | 2014-07-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396974 | Kim Deann Kercher | Physical Therapist | Legacy At Grassland Estates, 10665 W 13th St N Apt 329, Wichita, KS 67212 | 2020-11-04 |
| 1700370954 | Andrea Lou Wheeler | Registered Nurse | 658 N Fairway Ave, Wichita, KS 67212 | 2018-06-20 |
| 1568981231 | Wichita Family Dental LLC | Dentist | 1445 N. Ridge Rd, Wichtia, KS 67212 | 2017-09-14 |
| 1396260121 | Keegan Hemberger | Pharmacist | 555 N. Maize Road, Wichita, KS 67212 | 2017-08-14 |
| 1154877603 | Alicia Rose Landrum | Counselor | 515 N Ridge Rd Ste 105, Wichita, KS 67212 | 2016-08-25 |
| 1306218920 | Brandee Young | Occupational Therapist | 9710 W. Jamesburg, Wichita, KS 67212 | 2015-10-22 |
| 1588072201 | Michelle Kuhn | Pharmacist | 10515 W Central, Wichita, KS 67212 | 2014-07-25 |
| 1972914083 | Linda Mueller Mueller | Marriage & Family Therapist | 4425 West Zoo Blvd, Wichita, KS 67212 | 2014-05-12 |
| 1619392305 | Jessica Smith | Counselor | 1319 W May, Wichita, KS 67212 | 2014-03-04 |
| 1245652064 | Keepsake Kottage, LLC | Custodial Care Facility | 8801 W Bekemeyer, Wichita, KS 67212 | 2014-01-14 |
| Find all providers in zip 67212 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790399376 | Miresha Andrews | Massage Therapist | 2851 S Mead St, Wichita, KS 67216-1112 | 2020-09-01 |
| 1881215523 | Cassidy Randleas | Massage Therapist | 10523 E 21st St N Ste 4, Wichita, KS 67206-3582 | 2020-05-05 |
| 1700325172 | Molly Rebecca Powers-stephenson | Massage Therapist | 1803 E Douglas Ave, Wichita, KS 67211-1611 | 2017-02-18 |
| 1063820538 | Therapeutic Massage Group and Equipment | Massage Therapist | 2504 E Glen Oaks Cir, Wichita, KS 67216-2215 | 2014-07-29 |
| 1548405988 | Deanna Rose Bishop | Massage Therapist | 260 N Rock Rd Ste 200, Wichita, KS 67206-2285 | 2008-12-15 |
| 1649722729 | Teresa Lees | Massage Therapist | 8340 E 21st St N, 900, Wichita, KS 67206-2961 | 2016-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932713377 | Arrianna Noel Goff | Massage Therapist | 2023 Miami St Apt B, Leavenworth, KS 66048-1672 | 2020-09-02 |
| 1548880388 | Shayne Whisman | Massage Therapist | 205 E 7th St Ste 225, Hays, KS 67601-4161 | 2020-04-22 |
| 1609404250 | Melissa Lynne Mcmaster | Massage Therapist | 9200 Glenwood St Ste 101e, Overland Park, KS 66212-1300 | 2020-03-30 |
| 1194357079 | Jannelle Katherine Martinez | Massage Therapist | 13095 S Mur Len Rd Ste 170, Olathe, KS 66062-1250 | 2020-02-07 |
| 1134751324 | Heath Shroyer | Massage Therapist | 2110 W 75th St Ste E, Prairie Village, KS 66208-3503 | 2020-02-06 |
| 1720610173 | Robert Bingham | Massage Therapist | 12615 Metcalf Ave, Overland Park, KS 66213-1317 | 2020-02-04 |
| 1629600077 | Kimberly Crawford | Massage Therapist | 13628 S Blackbob Rd, Olathe, KS 66062-1934 | 2020-02-04 |
| 1760012512 | Angelique Mello Staggs | Massage Therapist | 10841 W 87th St Ste 200, Overland Park, KS 66214-1660 | 2020-01-21 |
| 1598303083 | Lisa Hong Zhang | Massage Therapist | 1130 Westport Dr Ste 2, Manhattan, KS 66502-2863 | 2019-12-15 |
| 1598221061 | Ginger Marie Anderson | Massage Therapist | 9200 Glewood Street Suite 101, Overland Park, KS 66212 | 2019-02-20 |
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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.