Individual provider Active NPI

Olubusayo Seyi-Adeyemo

  • Physical Therapist
  • Bridgewater, NJ
National Provider Identifier
1255738779
Registry record updated Nov 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01487600 Issued in NJ
Practice address
875 Rte 202/206
Bridgewater, NJ 08807-1861
Phone
(908) 895-2033
NPI assigned
Nov 26, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2014

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 40QA01487600 NJ Primary

Addresses

Primary practice location

875 Rte 202/206
Bridgewater, NJ 08807-1861

Mailing address

875 Rte 202/206
Bridgewater, NJ 08807-1861
Phone (908) 895-2033

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
40QA01487600NJMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416960000000",
    "number": "1255738779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 RTE 202/206",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071861",
            "telephone_number": "908-895-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 RTE 202/206",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071861",
            "telephone_number": "908-895-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEYI-ADEYEMO",
        "first_name": "OLUBUSAYO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-26",
        "last_updated": "2014-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01487600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.