Individual provider Active NPI

Sonny Olalia, BSPT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1063564177
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
024152-1 Issued in NY
Practice address
50 Sheffield Ave
Brooklyn, NY 11207-2420
Phone
(718) 345-2273
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 024152-1 NY Primary

Addresses

Primary practice location

50 Sheffield Ave
Brooklyn, NY 11207-2420

Mailing address

8829 54TH Ave
Apt 1
Elmhurst, NY 11373-4543
Phone (718) 760-2312

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
024152-1NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063564177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8829 54TH AVE",
            "address_2": "APT 1",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734543",
            "telephone_number": "718-760-2312",
            "fax_number": "718-760-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 SHEFFIELD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112072420",
            "telephone_number": "718-345-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLALIA",
        "first_name": "SONNY",
        "name_prefix": "Mr.",
        "credential": "BSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "024152-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.