Active NPIIndividual provider

Randy Olivolo

Physical Therapy Assistant in Boston, Massachusetts

NPI Number1184507568
Practice location
20 Old Colony Ave, Boston, MA 02127-2405
Fax
—
Last updated
July 31, 2025

Randy Olivolo is a Physical Therapy Assistant based in Boston, MA. Randy Olivolo practices in Boston, MA. The NPI Number for Randy Olivolo is 1184507568 and holds a License No. 22455 (MA). The current practice location address for Randy Olivolo is 20 Old Colony Ave, Boston, MA 02127-2405 and can be reached out via phone at 781-664-9388.

Provider Profile Details

NPI Number
1184507568
Provider Name
Randy Olivolo
Provider Entity Type
Individual
Gender
Male
Address
20 Old Colony Ave, Boston, MA 02127-2405
Phone Number
781-664-9388
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
July 31, 2025
Last Update Date
July 31, 2025
Certification Date
July 31, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 Old Colony Ave
Boston, MA 02127-2405
City
Boston
Zip
02127-2405
Phone Number
781-664-9388
Boston, MA 02127Get directions →

Provider Business Mailing Address Details

Address
20 Old Colony Ave
Boston, MA 02127-2405
City
Boston
State
MA
Zip
02127-2405
Phone Number
781-664-9388

License Information

License Number
22455
License State
MA
Taxonomy
Physical Therapy Assistant · 225200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Randy Olivolo?

The NPI number of Randy Olivolo is 1184507568. It was assigned on July 31, 2025 and is currently active in the NPPES registry.

What is the specialty of Randy Olivolo?

Randy Olivolo is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in MA under license number 22455.

Where does Randy Olivolo practice?

The practice location is 20 Old Colony Ave, Boston, MA 02127-2405. The office can be reached at 781-664-9388 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184507568 directly on the NPPES registry website.

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