Individual provider Active NPI

Olufunmilola Adebukunola Dosunmu, OTR

  • Occupational Therapist
  • Gainesville, VA
National Provider Identifier
1174863138
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
07071 Issued in MD
Practice address
14876 Cartagena Dr
Gainesville, VA 20155-1978
Phone
(703) 473-8809
NPI assigned
Feb 27, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 07071 MD Primary

Addresses

Primary practice location

14876 Cartagena Dr
Gainesville, VA 20155-1978

Mailing address

14876 Cartagena Dr
Gainesville, VA 20155-1978
Phone (703) 473-8809

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1174863138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14876 CARTAGENA DR",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201551978",
            "telephone_number": "703-473-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14876 CARTAGENA DR",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201551978",
            "telephone_number": "703-473-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOSUNMU",
        "first_name": "OLUFUNMILOLA",
        "middle_name": "ADEBUKUNOLA",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-27",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "07071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.