Individual provider Active NPI

Olabisi Alihu

  • Physical Therapist
  • Smyrna, DE
National Provider Identifier
1083065833
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
22297 Issued in MA
Practice address
1000 Smyrna Clayton Blvd Ste 4
Smyrna, DE 19977-2228
Phone
(302) 659-3102
NPI assigned
Jun 23, 2016
Last updated
Sep 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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 22297 MA Primary

Addresses

Primary practice location

1000 Smyrna Clayton Blvd Ste 4
Smyrna, DE 19977-2228

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

362 Belmont St
Brockton, MA 02301-4950
Phone (508) 584-7711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22297MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Bay State Physical Therapy of Randolph Inc CurrentSince May 11, 2016 Accepting new patients
Boston Medical Center Corporation Current Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Sep 2, 2024 Accepting new patients
Proex Physical Therapy, LLC CurrentSince Sep 7, 2021 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Sep 2, 2024 Accepting new patients
Proex Physical Therapy, LLC Physical Therapist CurrentSince Sep 7, 2021 Accepting new patients
Ati Holdings, LLC Physical Therapist PastSince Sep 15, 2024 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

6 Fortune Dr
Billerica, MA 01821
Phone (978) 408-2000

10 High St
Ste 303
Boston, MA 02110
Phone (617) 542-6999

362 Belmont St
Brockton, MA 02301
Phone (508) 584-6622

45 Forge Hill Rd
Franklin, MA 02038
Phone (508) 520-4652

1343 Providence Hwy
Norwood, MA 02062
Phone (781) 702-1339

1 Credit Union Way
Fl 3
Randolph, MA 02368

1054 County St
Somerset, MA 02726
Phone (508) 674-3340

300 Tradecenter
Ste 1650
Woburn, MA 01801
Phone (781) 925-7643

576 Broadhollow Rd
Melville, NY 11747

Interoperability endpoints

  • Direct secure messaging: ooyarekua140108@direct.bmc.masshiway.net

Organizations & group practices 7

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": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1083065833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SMYRNA CLAYTON BLVD STE 4",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199772228",
            "telephone_number": "302-659-3102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "362 Belmont St",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023014950",
            "country_code": "US",
            "telephone_number": "508-584-7711",
            "fax_number": "508-584-7744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALIHU",
        "first_name": "OLABISI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-23",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "22297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.