Active NPI
Ayoade Olla, DPT
- Physical Therapist
- Yuma, AZ
National Provider Identifier
1336578335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10639
- Practice address
- 2281 W 24TH St
Suite 10
Yuma, AZ 85364-6154 - Phone
- (928) 344-1656
- Fax
- (928) 344-5072
- NPI assigned
- Nov 11, 2013
- Last updated
- Nov 11, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10639 | AZ | Primary |
Addresses
Primary practice location
2281 W 24TH St
Suite 10
Yuma, AZ 85364-6154
Mailing address
2281 W 24TH St
Suite 10
Yuma, AZ 85364-6154
Phone (928) 344-1656
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384128000000",
"number": "1336578335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2281 W 24TH ST",
"address_2": "SUITE 10",
"city": "YUMA",
"state": "AZ",
"postal_code": "853646154",
"telephone_number": "928-344-1656",
"fax_number": "928-344-5072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2281 W 24TH ST",
"address_2": "SUITE 10",
"city": "YUMA",
"state": "AZ",
"postal_code": "853646154",
"telephone_number": "928-344-1656",
"fax_number": "928-344-5072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLLA",
"first_name": "AYOADE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-11-11",
"last_updated": "2013-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "10639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.