Theresa Abimbola Ogundipe

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0179891 Issued in NY

Practice address

14205 222ND St
1St Floor
Laurelton, NY 11413-3136

Phone

(718) 527-7661

Fax

(718) 527-7661

NPI assigned

Dec 18, 2008

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229558400000",
    "number": "1083850259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14205 222ND ST",
            "address_2": "1ST FLOOR",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "114133136",
            "telephone_number": "718-527-7661",
            "fax_number": "718-527-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14205 222ND ST",
            "address_2": "1ST FLOOR",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "114133136",
            "telephone_number": "718-527-7661",
            "fax_number": "718-527-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNDIPE",
        "first_name": "THERESA",
        "middle_name": "ABIMBOLA",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-18",
        "last_updated": "2008-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0179891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverley Y O'Brien
• Edith Afulenu Obi, FNP-BC
• Chinedum Obiora
• Sylvia Ocampo
• Ngozi Felicia Offor-Osu
• Ann Orieji Okonkwo, DIRECTOR
• Samuel Okonta, MD
• Richard Olonimoyo
• Olabisi Olowoyo
• Natasha Orilus, LMSW

• Physical Therapist in Laurelton, NY
• Providers in Laurelton, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; 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.