KEVIN JAKE TORRES OLIS PT
NPI 1942009469
Physical Therapist in Riverhead, NY

Active since March 08, 2025Accepts Medicare Assignment
1081 OLD COUNTRY RD, RIVERHEAD, NY 11901(631) 740-9200 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 10, 2025, Mar 8, 2025 (2 updates tracked since 2025).

About Kevin Jake Torres Olis Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN JAKE TORRES OLIS PT (NPI 1942009469) is an individual physical therapist in Riverhead, New York, licensed in New York (053108) and active in the NPI registry since March 2025. He is a graduate of Other (2018).

NPPES Registry Identity

NPI1942009469
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameKEVIN JAKE TORRES OLISCredential: PT
Location Address1081 OLD COUNTRY RDRiverhead, NY 11901-2019
Mailing Address8 Quantuck Bay RdWesthampton Beach, NY 11978-1604
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 8, 2025
Last NPPES UpdateMarch 10, 20252 updates tracked since enumeration
NPPES CertifiedMarch 10, 2025
✔ NPI 1942009469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in NY · 053108
Definition
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, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1081 OLD COUNTRY RD, Riverhead, NY 11901

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kevin Jake Torres Olis Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557874641
PECOS Enrollment IDI20250701004155

Medicare Billing Reassignment

Medicare enrollment records show Kevin Jake Olis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapy
300 OLD COUNTRY RD STE 102
Mineola, NY 11501
  • Reassigned Medicare billing, New York enrollment
  • 3 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
1081 OLD COUNTRY RD
RIVERHEAD, NY 11901
Chiropractor
1081 OLD COUNTRY RD
RIVERHEAD, NY 11901
Chiropractor
1081 OLD COUNTRY RD
RIVERHEAD, NY 11901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Jake Olis's NPI number?

The NPI number for Kevin Jake Olis is 1942009469. It was assigned to this individual provider in the NPPES registry on March 8, 2025.

Where is Kevin Jake Olis located?

Kevin Jake Olis practices at 1081 Old Country Rd, Riverhead, NY 11901. The listed phone number is (631) 740-9200.

What is Kevin Jake Olis's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Kevin Jake Olis enrolled in Medicare?

Yes. Kevin Jake Olis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kevin Jake Olis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Jake Olis reassigns Medicare benefits to Within Normal Limits Physical Therapy P.C. (Mineola, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Jake Olis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kevin Jake Olis was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.