Active NPI
Oluwasegun Olomojobi, PT
- Physical Therapist
- San Antonio, TX
National Provider Identifier
1033664180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1278082
- Practice address
- 111 Tower Dr BLDG 1
San Antonio, TX 78232-3625 - Phone
- (800) 404-6050
- NPI assigned
- Aug 18, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1278082 | TX | Primary |
Addresses
Primary practice location
111 Tower Dr BLDG 1
San Antonio, TX 78232-3625
Mailing address
PO Box 700688
San Antonio, TX 78270-0688
Phone (210) 318-3007
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CP022980T | Other | WA | PHYSICAL THERAPIST LICENSE |
| 1278082 | Other | TX | PHYSICAL THERAPIST LICENSE |
| CP022446T | Other | VA | PHYSICAL THERAPIST LICENSE |
| CP022979T | Other | OH | PHYSICAL THERAPIST LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | records@airrosti-rehab-ctrs.direct.kno2fy.com | Airrosti Rehab Centers, LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1033664180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 700688",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782700688",
"telephone_number": "210-318-3007",
"fax_number": "210-468-0682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 TOWER DR BLDG 1",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782323625",
"telephone_number": "800-404-6050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLOMOJOBI",
"first_name": "OLUWASEGUN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-18",
"last_updated": "2023-07-31",
"certification_date": "2023-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1278082",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST LICENSE",
"identifier": "CP022980T",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST LICENSE",
"identifier": "1278082",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST LICENSE",
"identifier": "CP022446T",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST LICENSE",
"identifier": "CP022979T",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "records@airrosti-rehab-ctrs.direct.kno2fy.com",
"affiliation": "Y",
"affiliationName": "Airrosti Rehab Centers, LLC",
"address_1": "111 Tower Dr Bldg 1",
"city": "San Antonio",
"state": "TX",
"country_code": "US",
"postal_code": "782323625",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.