Individual provider Active NPI

Adedayo Oyewo

  • Physical Therapist
  • Williamsville, NY
National Provider Identifier
1184164188
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
041293 Issued in NY
Practice address
60 Forest Hill Dr
Williamsville, NY 14221-3217
Phone
(929) 365-1962
NPI assigned
Feb 24, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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 041293 NY Primary

Addresses

Primary practice location

60 Forest Hill Dr
Williamsville, NY 14221-3217

Mailing address

60 Forest Hill Dr
Williamsville, NY 14221-3217
Phone (929) 365-1962

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

NPI Registry JSON

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

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1184164188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 FOREST HILL DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213217",
            "telephone_number": "929-365-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 FOREST HILL DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213217",
            "telephone_number": "929-365-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYEWO",
        "first_name": "ADEDAYO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-24",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.