Individual provider Active NPI

James Bamidele Akinwunmi, DPT

  • Physical Therapist
  • Fishkill, NY
National Provider Identifier
1174778831
Registry record updated Nov 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
014823-1 Issued in NY
Practice address
1538 Route 52
Suite H
Fishkill, NY 12524-1621
Phone
(845) 765-1037
Fax
(845) 765-1038
NPI assigned
Nov 22, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 014823-1 NY Primary

Addresses

Primary practice location

1538 Route 52
Suite H
Fishkill, NY 12524-1621

Mailing address

1538 Route 52
Suite H
Fishkill, NY 12524-1621
Phone (845) 765-1037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091020000076 NY Practitioner - Physical Therapist in Private Practice 0840337184 Reassigns benefits to 1 organization
Practice locations: Fishkill, NY

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1534 Route 52
Fishkill, NY 12524-1631
Phone (845) 765-1037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
014823-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Devine Grace Incorporated Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients
The Grace Rehabilitation and Physical Therapy PC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1227312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227312000000",
    "number": "1174778831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1538 ROUTE 52",
            "address_2": "SUITE H",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125241621",
            "telephone_number": "845-765-1037",
            "fax_number": "845-765-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1538 ROUTE 52",
            "address_2": "SUITE H",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125241621",
            "telephone_number": "845-765-1037",
            "fax_number": "845-765-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKINWUNMI",
        "first_name": "JAMES",
        "middle_name": "BAMIDELE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-22",
        "last_updated": "2008-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "014823-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishkill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.