Individual provider Active NPI

Omolade Taiye Olowe, PT

  • Physical Therapist
  • Philadelphia, PA
National Provider Identifier
1144606401
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT026645 Issued in PA
Practice address
2801 Walnut Hill St Apt 7D
Philadelphia, PA 19152-1541
Phone
(850) 225-1987
NPI assigned
Aug 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT026645 PA Primary
Geriatric Physical Therapist 2251G0304X 11519 AZ

Addresses

Primary practice location

2801 Walnut Hill St Apt 7D
Philadelphia, PA 19152-1541

Mailing address

2801 Walnut Hill St Apt 7D
Philadelphia, PA 19152-1541
Phone (850) 225-1987

Other practice location 1

9494 E Becker Ln
Scottsdale, AZ 85260-6720
Phone (480) 860-6396

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lade@optimalhomerehab.com Direct

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
11519AZMDClinical Social Worker
PT026645PAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1439078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1144606401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 WALNUT HILL ST APT 7D",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191521541",
            "telephone_number": "850-225-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 WALNUT HILL ST APT 7D",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191521541",
            "telephone_number": "850-225-1987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9494 E Becker Ln",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852606720",
            "country_code": "US",
            "telephone_number": "480-860-6396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLOWE",
        "first_name": "OMOLADE",
        "middle_name": "TAIYE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-09",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT026645",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "AZ",
            "license": "11519",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lade@optimalhomerehab.com",
            "affiliation": "N",
            "endpointDescription": "Gmail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Not applicable",
            "address_1": "2801 Walnut Hill St Apt 7D",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191521541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.