Individual provider Active NPI

Oluwabunmi Bosede Oladeji, PHYSICAL THERAPIST

  • Physical Therapist
  • King of Prussia, PA
National Provider Identifier
1235380171
Registry record updated Nov 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT018441 Issued in PA
Practice address
600 W Valley Forge Rd
King of Prussia, PA 19406-1571
Phone
(610) 337-1775
NPI assigned
Oct 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 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 PT018441 PA Primary

Addresses

Primary practice location

600 W Valley Forge Rd
King of Prussia, PA 19406-1571

Mailing address

600 W Valley Forge Rd
King of Prussia, PA 19406-1571
Phone (610) 337-1775

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

State licenses

LicenseStateTypeSpecialty
PT018441PAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227052800000",
    "number": "1235380171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W VALLEY FORGE RD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061571",
            "telephone_number": "610-337-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W VALLEY FORGE RD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061571",
            "telephone_number": "610-337-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLADEJI",
        "first_name": "OLUWABUNMI",
        "middle_name": "BOSEDE",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-09",
        "last_updated": "2008-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT018441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; 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.