Organization Active NPI

Rehoboth Physical Therapy PC

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1124374798
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
023029 Issued in NY
Legal business name
REHOBOTH PHYSICAL THERAPY PC
Practice address
598 New York Ave
Brooklyn, NY 11203-1507
Phone
(347) 221-1646
Fax
(718) 481-7929
NPI assigned
Jul 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Authorized official

Name
Dr. Adedolapo Adeshola Olurinde, DPT
Title
Owner/Ceo
Phone
(347) 351-4970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 023029 NY Primary

Addresses

Primary practice location

598 New York Ave
Brooklyn, NY 11203-1507

Mailing address

24104 148TH Rd
Rosedale, NY 11422-3249
Phone (347) 221-1646

Other identifiers 1

IdentifierTypeStateIssuer
1508092446MedicaidNY

National Provider Directory

National Provider Directory

Locations

598 New York Ave
Brooklyn, NY 11203
Phone (347) 221-1646

NPI Registry JSON

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1124374798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24104 148TH RD",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114223249",
            "telephone_number": "347-221-1646",
            "fax_number": "718-481-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 NEW YORK AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112031507",
            "telephone_number": "347-221-1646",
            "fax_number": "718-481-7929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHOBOTH PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-31",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "OLURINDE",
        "authorized_official_first_name": "ADEDOLAPO",
        "authorized_official_middle_name": "ADESHOLA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "347-351-4970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "023029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508092446",
            "state": "NY"
        }
    ],
    "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 Jan 9, 2013; 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.