Individual provider Active NPI

Hakeem Adekulne Olabinjo, PT

  • Physical Therapist
  • Woodmere, NY
National Provider Identifier
1194416552
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
050190 Issued in NY
Practice address
130 Irving PL
Woodmere, NY 11598-1224
Phone
(516) 712-6276
NPI assigned
May 17, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 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 050190 NY Primary

Addresses

Primary practice location

130 Irving PL
Woodmere, NY 11598-1224

Mailing address

319 Beach 47TH St
Far Rockaway, NY 11691-1116
Phone (314) 681-2166

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": "1684281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1194416552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 BEACH 47TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116911116",
            "telephone_number": "314-681-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 IRVING PL",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981224",
            "telephone_number": "516-712-6276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLABINJO",
        "first_name": "HAKEEM",
        "middle_name": "ADEKULNE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "050190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodmere, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.