Individual provider Active NPI

Temitope Gabriel Olaniwun, PT,DPT

  • Physical Therapist
  • Oklahoma City, OK
National Provider Identifier
1013309236
Registry record updated Oct 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6258 Issued in OK
Practice address
3030 NW Expressway
Suite 809
Oklahoma City, OK 73112-5474
Phone
(866) 848-8813
Fax
(866) 848-8814
NPI assigned
Feb 25, 2015
Last updated
Oct 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 6258 OK Primary

Addresses

Primary practice location

3030 NW Expressway
Suite 809
Oklahoma City, OK 73112-5474

Mailing address

9604 NW 126TH St
Yukon, OK 73099-9697
Phone (405) 706-7304

Other practice location 1

9604 NW 126th St
Yukon, OK 73099-9697
Phone (405) 706-7304 ext. 67304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240606002359 OK Practitioner - Physical Therapist in Private Practice 6103368089 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Yith Geriatrics Rehab& Well-Being Services PLLC Single Specialty CurrentSince Dec 28, 2025 Accepting new patients
Oklahoma Luna Care Physical Therapy LLC Single Specialty CurrentSince May 30, 2024 Accepting new patients

Locations

3030 NW Expressway St
Ste 300
Oklahoma City, OK 73112
Phone (405) 326-7287

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761436800000",
    "number": "1013309236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9604 NW 126TH ST",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730999697",
            "telephone_number": "405-706-7304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 NW EXPRESSWAY",
            "address_2": "SUITE 809",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125474",
            "telephone_number": "866-848-8813",
            "fax_number": "866-848-8814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9604 NW 126th St",
            "address_purpose": "LOCATION",
            "city": "Yukon",
            "state": "OK",
            "postal_code": "730999697",
            "country_code": "US",
            "telephone_number": "405-706-7304 x67304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLANIWUN",
        "first_name": "TEMITOPE",
        "middle_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "PT,DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-25",
        "last_updated": "2025-10-26",
        "certification_date": "2025-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "6258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.