Olugbenga A Ogunsanya, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT010118 Issued in GA

Practice address

9050 Peridot Pkwy
Suite E
Stockbridge, GA 30281-9417

Phone

(770) 474-0540

Fax

(770) 507-0506

NPI assigned

Oct 25, 2010

Last updated

Oct 25, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Functions Healthcare Services LLC

  • Home Health Agency
  • McDonough, GA
  • NPI 1396035044
  NPD (past) Authorized official
• Matrix Rehabilitation-Georgia Inc

  dba Physiotherapy Associates

  • Physical Therapy Clinic/Center
  • Stockbridge, GA
  • NPI 1518998970
  NPD (past)
• Matrix Rehabilitation-Georgia Inc

  dba Physiotherapy Associates

  • Physical Therapy Clinic/Center
  • McDonough, GA
  • NPI 1659302966
  NPD (past)

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287964800000",
    "number": "1275833295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 LAKE TER",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302536546",
            "telephone_number": "678-793-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 PERIDOT PKWY",
            "address_2": "SUITE E",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819417",
            "telephone_number": "770-474-0540",
            "fax_number": "770-507-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNSANYA",
        "first_name": "OLUGBENGA",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-25",
        "last_updated": "2010-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT010118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ogbonna Chigozie Ogbu, M.D.
• Tonya Michelle Ogletree, P.A.C.
• Millicent Ogoo, NP
• Ifeoluwa Ogunbadeniyi, M.D
• Adebola Ogunmodede, M.D
• Gail Ohaegbulam, M.D.
• Magnus Ojukwu
• Patrick Ike Ojukwu, M.D.
• Chidi Okorie
• Beatrice Uju Okoye, DNP

• Physical Therapist in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.