Kolawole A Adeyemi, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1187289 Issued in TX

Practice address

18302 Thicket Grove Rd
Houston, TX 77084-7596

Phone

(281) 733-1356

Fax

(832) 767-0037

NPI assigned

Aug 21, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Resource Therapy Center, LLC

  • Speech-Language Pathologist
  • Houston, TX
  • NPI 1023340957
  Medicare reassignment NPD

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377043200000",
    "number": "1235563693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18302 THICKET GROVE RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770847596",
            "telephone_number": "281-733-1356",
            "fax_number": "832-767-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18302 THICKET GROVE RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770847596",
            "telephone_number": "281-733-1356",
            "fax_number": "832-767-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEYEMI",
        "first_name": "KOLAWOLE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-21",
        "last_updated": "2013-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1187289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Modupe Moronke Adeyefa, M.D.
• Oludayo Adedotun Adeyefa, M.D.
• Omobolanle Omolayo Adeyekun, MD
• Adebayo Solomon Adeyemi
• Bolaji Adeyemi
• Christianah Adeyemo, PTA
• Melissa Matthews Adeyemo, MD
• Oluwatoke Abidemi Adeyemo, NP
• Peace Adeyemo
• Folasade Adeyeye

• Physical Therapist in Houston, TX
• Providers in Houston, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.