Oluwanishola Bashorun, M.S. P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1399638 Issued in TX

Practice address

5309 Wurzbach Rd Ste 101
San Antonio, TX 78238-2431

Phone

(940) 337-4132

NPI assigned

Jan 31, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in VA, TX2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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.

• Kingsway Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • San Antonio, TX
  • NPI 1144475534
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1184761116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5309 WURZBACH RD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782382431",
            "telephone_number": "940-337-4132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5309 WURZBACH RD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782382431",
            "telephone_number": "940-337-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASHORUN",
        "first_name": "OLUWANISHOLA",
        "name_prefix": "Mrs.",
        "credential": "M.S. P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "3175",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305205701",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1399638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1399638",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "2305205701",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE INFORMATION",
            "identifier": "3175",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Bascom
• Georjeanne Bascos
• Baseline Neuromonitoring PLLC
• Nawsin Baset
• Mary Suzanne Basey, MD
• Basic Nursing Services Inc
• Basik Kare Services
• Jannette Basilan, PT, DPT
• Gina Basinger
• Suruthi Baskaran, MBBS, MS

• Physical Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.