Individual provider Active NPI

Thompson Adewale Ogunbiyi

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1275348484
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
130 Glen St Apt 82
Brooklyn, NY 11208-2955
Phone
(647) 450-8294
NPI assigned
Feb 13, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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 Primary

Addresses

Primary practice location

130 Glen St Apt 82
Brooklyn, NY 11208-2955

Mailing address

27 Centennial Street
Regina, SASKATCHEWAN S4S 6P8
CA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250312002308 NY Practitioner - Physical Therapist in Private Practice 8820519341 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Prokinetics Physical Therapy P.C. Physical Therapist CurrentSince Mar 7, 2025 Accepting new patients
Priority One Therapy PT OT SLP PLLC CurrentSince Jan 17, 2025 Accepting new patients
New York Physical and Occupational Therapy Services, PLLC Physical Therapist CurrentSince Mar 7, 2025 Accepting new patients
Rehab on Wheels OT PT PLLC Physical Therapist CurrentSince Mar 7, 2025 Accepting new patients

Locations

8419 Bay Pkwy
Brooklyn, NY 11214
Phone (718) 259-0199

2579 Ocean Ave
Fl 3
Brooklyn, NY 11229
Phone (646) 780-0925

174 Bay 29th St
Ste C1
Brooklyn, NY 11214
Phone (646) 750-4455

99 W Hawthorne Ave
Ste 210
Valley Stream, NY 11580
Phone (718) 305-1190

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1739404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1275348484",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "27 CENTENNIAL STREET",
            "city": "REGINA",
            "state": "SASKATCHEWAN",
            "postal_code": "S4S 6P8"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 GLEN ST APT 82",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112082955",
            "telephone_number": "647-450-8294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNBIYI",
        "first_name": "THOMPSON",
        "middle_name": "ADEWALE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.