Adesuwa Eguaze, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

043125 Issued in NY

Practice address

15 Ruby LN
Selkirk, NY 12158-3016

Phone

(518) 902-9415

NPI assigned

Aug 14, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Lend a Supporting Hand

  • Home Health Agency
  • Selkirk, NY
  • NPI 1780445544
  NPD Authorized official

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705190400000",
    "number": "1023598604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 RUBY LN",
            "city": "SELKIRK",
            "state": "NY",
            "postal_code": "121583016",
            "telephone_number": "518-902-9415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 RUBY LN",
            "city": "SELKIRK",
            "state": "NY",
            "postal_code": "121583016",
            "telephone_number": "518-902-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGUAZE",
        "first_name": "ADESUWA",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2024-01-14",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "043125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Carrk, MS, OT/L
• Amy Noell Cavallo, RN, IBCLC
• Michelle Daley, LCSW
• Kerry R Deluca, CCC-SLP
• Kimberly Dulan, MS ED
• Cheryl Lynn Estabrook, LMHC, NBCC
• Christine Helene Hull, OTR/L
• Ngozi Ihenetu, RN
• Tenisha G Imbert, RRT
• Lend a Supporting Hand

• All providers in Selkirk, NY
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.