Oluwatoyin John Fadugba, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

17495 Issued in NY

Practice address

2088 Murray Hill St
Elmont, NY 11003-2129

Phone

(516) 435-8726

Fax

(516) 326-8225

NPI assigned

Jul 22, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Praise Physical Therapy Rehabilitation Services PC

  • Physical Therapy Clinic/Center
  • Elmont, NY
  • NPI 1912268319
  Authorized official Same address or phone

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1144450222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2088 MURRAY HILL ST",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110032129",
            "telephone_number": "516-435-8726",
            "fax_number": "516-326-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2088 MURRAY HILL ST",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110032129",
            "telephone_number": "516-435-8726",
            "fax_number": "516-326-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FADUGBA",
        "first_name": "OLUWATOYIN",
        "middle_name": "JOHN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-22",
        "last_updated": "2022-04-04",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "17495",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "17495",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "17495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ewald J. Antoine MD PC
• Florencia Bellevue Exinvil
• Ngoz Ezeocha
• Jules Fabien, LPN
• Motunrayo J Fadugba, PHARMD
• Fagan Residence
• Family & Children's Association West Nassau Comm
• Family Health Nurse Practitioner of Elmont Professional Corporation
• Peter Adekola Fasanya, PT,DPT
• Olufemi Fatukasi, LPN

• Physical Therapist in Elmont, NY
• Providers in Elmont, 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 Apr 4, 2022; 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.