Active NPI
Bryan Onuselogu, DPT
- Orthopedic Physical Therapist
- Surprise, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 13089
- Practice address
- 15021 W Bell Rd Ste 125
Surprise, AZ 85374-3916 - Phone
- (623) 476-7880
- NPI assigned
- Jun 28, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 13089 | AZ | Primary |
Addresses
Primary practice location
15021 W Bell Rd Ste 125
Surprise, AZ 85374-3916
Mailing address
9055 E Catalina Hwy Apt 2104
Tucson, AZ 85749-7400
Other practice location 1
7119 E Broadway Blvd
Tucson, AZ 85710-1404
Phone (520) 881-0050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13089 | AZ | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Luna Care Physical Therapy, LLC | Orthopedic | Current | Accepting new patients |
| Foothills Sports Medicine & Rehabilitation, LLC | Current | Accepting new patients | |
| Greater Phoenix Collaborative Care PC | Current | Accepting new patients | |
| Greater Phoenix Collaborative Care PC | Current | Accepting new patients | |
| Foothills Sports Medicine & Rehabilitation, LLC | Orthopedic | Current | Accepting new patients |
Locations
6788 S Kings Ranch Rd
Ste 4
Gold Canyon, AZ 85118
Phone (480) 982-1909
14050 N 83rd Ave
Ste 290
Peoria, AZ 85381
Phone (623) 261-1362
9069 W Olive Ave
Ste 105
Peoria, AZ 85345
Phone (623) 257-2079
15410 S Mountain Pkwy
Ste 112
Phoenix, AZ 85044
Phone (480) 609-0822
5830 N 19th Ave
Phoenix, AZ 85015
Phone (602) 249-0115
15021 W Bell Rd
Ste 125
Surprise, AZ 85374
Phone (623) 476-7880
1460 W Valencia Rd
Tucson, AZ 85746
Phone (520) 573-0966
3305 N Swan Rd
Ste 115
Tucson, AZ 85712
Phone (520) 321-0204
Interoperability endpoints
- bryan.onuselogu.2@14940.direct.athenahealth.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Phoenix, AZ
- NPI 1558318170
Orthopedic
-
- Clinic/Center
- Phoenix, AZ
- NPI 1750686614
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1073224267
-
- Diagnostic Radiology Physician
- Phoenix, AZ
- NPI 1790581742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727395200000",
"number": "1154842276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9055 E CATALINA HWY APT 2104",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857497400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15021 W BELL RD STE 125",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853743916",
"telephone_number": "623-476-7880"
}
],
"practiceLocations": [
{
"address_1": "7119 E Broadway Blvd",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857101404",
"country_code": "US",
"telephone_number": "520-881-0050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ONUSELOGU",
"first_name": "BRYAN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-28",
"last_updated": "2024-09-27",
"certification_date": "2024-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "AZ",
"license": "13089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.