Individual provider · Type 1 NPI

Jordan Olivares, PT, DPT

Physical Therapist · Los Angeles, CA

NPI number 1558249136 Active

Practice location

1640 Marengo St
Los Angeles, CA 90033-1036

Mailing address

PO Box 31309
Los Angeles, CA 90031-0309

Other practice locations

  • 2101 E El Segundo Blvd, El Segundo, CA 90245-4518 · (310) 810-4881

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X308786 (CA)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1558249136

Jordan Olivares, PT, DPT's National Provider Identifier is 1558249136, issued on Aug 22, 2025. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Los Angeles, CA. The record was last updated on Nov 13, 2025.