Individual provider Active NPI

Olukemi F. Okunseinde, MPT

  • Physical Therapist
  • Cary, NC
National Provider Identifier
1376665547
Registry record updated Jul 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19925 Issued in MD
Practice address
1505 SW Cary Pkwy
Suite 304
Cary, NC 27511-6219
Phone
(919) 463-9443
Fax
(919) 463-9466
NPI assigned
Apr 6, 2007
Last updated
Jul 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2016

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 19925 MD Primary

Addresses

Primary practice location

1505 SW Cary Pkwy
Suite 304
Cary, NC 27511-6219

Mailing address

5530 Wisconsin Ave
Ste 1660
Chevy Chase, MD 20815-4322
Phone (301) 657-9876

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081124000218 DC Practitioner - Physical Therapist in Private Practice 8022178854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3414 Olandwood CT
Olney, MD 20832-1384
Phone (301) 774-0500

7500 Old Georgetown Rd
Suite 301
Bethesda, MD 20814-6133
Phone (301) 657-9876

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Jun 13, 2016 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Jun 13, 2016 Accepting new patients
Centers for Advanced Orthopaedics, LLC Physical Therapist Current Accepting new patients
Capitol Orthopaedics and Rehabilitation, LLC Past Accepting new patients
Bethesda Chevy Chase Orthopaedic Associates, LLC Past Accepting new patients

Locations

5530 Wisconsin Ave
Ste 1660
Chevy Chase, MD 20815
Phone (301) 657-9876

3414 Olandwood Ct
Olney, MD 20832
Phone (301) 774-0500

Organizations & group practices 5

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": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467849600000",
    "number": "1376665547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE",
            "address_2": "STE 1660",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154322",
            "telephone_number": "301-657-9876",
            "fax_number": "301-657-8229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 SW CARY PKWY",
            "address_2": "SUITE 304",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116219",
            "telephone_number": "919-463-9443",
            "fax_number": "919-463-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKUNSEINDE",
        "first_name": "OLUKEMI",
        "middle_name": "F.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2016-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "19925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; 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.