Individual provider Active NPI

Adewale Sarafadeen Adenlola, DPT DOCTOR OF PHYSIC

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1336224773
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0186761 Issued in NY
Practice address
35 E 51St St
Brooklyn, NY 11203-1305
Phone
(718) 363-2556
Fax
(718) 363-2677
NPI assigned
Oct 26, 2006
Last updated
Mar 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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 0186761 NY Primary

Addresses

Primary practice location

35 E 51St St
Brooklyn, NY 11203-1305

Mailing address

244 S King St
Elmont, NY 11003-4233
Phone (516) 805-1811

Other identifiers 2

IdentifierTypeStateIssuer
02622659MedicaidNY
HPN75755OtherNYCARE PLUS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050228000254 NY Practitioner - Physical Therapist in Private Practice 9436101102 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

35 E 51St St
Brooklyn, NY 11203-1305
Phone (718) 363-2556

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0186761NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Adex Physical Therapy PC Physical Therapist CurrentSince Aug 25, 2009 Accepting new patients
Beacon Speech-Language Pathology Physical and Occupational Therapy CurrentSince Jun 1, 2017 Accepting new patients

Locations

35 E 51st St
Brooklyn, NY 11203
Phone (718) 363-2556

35 E 51st St
Ste 1
Brooklyn, NY 11203
Phone (718) 363-2556

887 Rutland Rd
Brooklyn, NY 11203
Phone (347) 406-6522

20815 Jamaica Ave
Queens Village, NY 11428
Phone (718) 464-1313

1441 Old Northern Blvd
Roslyn, NY 11576
Phone (516) 625-6846

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1336224773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 S KING ST",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034233",
            "telephone_number": "516-805-1811",
            "fax_number": "718-363-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 E 51ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112031305",
            "telephone_number": "718-363-2556",
            "fax_number": "718-363-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADENLOLA",
        "first_name": "ADEWALE",
        "middle_name": "SARAFADEEN",
        "name_prefix": "Dr.",
        "credential": "DPT DOCTOR OF PHYSIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0186761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02622659",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE PLUS",
            "identifier": "HPN75755",
            "state": "NY"
        }
    ],
    "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 Mar 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.