IndividualActive
Oliver Jay Realino, DPT
NPI 1114121076 · Sports Physical Therapist · New York, NY
Provider details
- NPI number
- 1114121076
- Entity type
- Individual
- Primary specialty
- Sports Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 024825 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
7 W 22nd St Fl 8
New York, NY 10010-5142
Phone: (917) 915-8420
Approximate (ZIP-level) locationGet directions
Mailing address
1600 Harbor Blvd Apt 1601w
Weehawken, NJ 07086-6869
Registry dates
- Enumerated
- 2007-06-13
- Last updated
- 2024-06-03
- Certified
- 2023-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.