Active NPI
Aderemi Isola Adeyemi, P.T.
- Physical Therapist
- Rockaway Beach, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 013123
- Practice address
- 214 Beach 92ND St
1
Rockaway Beach, NY 11693-1540 - Phone
- (718) 634-3727
- Fax
- (718) 835-5008
- NPI assigned
- Apr 14, 2008
- Last updated
- Apr 14, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 013123 | NY | Primary |
Addresses
Primary practice location
214 Beach 92ND St
1
Rockaway Beach, NY 11693-1540
Mailing address
214 Beach 92ND St
Apt 1
Rockaway Beach, NY 11693-1540
Phone (718) 634-3727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 Hempstead Tpke
East Meadow, NY 11554-1551
Phone 5167397733420
1979 Marcus Ave
Suite 204
New Hyde Park, NY 11042-1002
Phone (516) 327-4681
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013123 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epic Medical Services PC | Current | Accepting new patients | |
| Lifespire, Inc. | Current | Accepting new patients | |
| Epic Long Island | Current | Accepting new patients | |
| Epilepsy Foundation of L.I. | Current | Accepting new patients | |
| Lifespire, Inc. | Current | Accepting new patients | |
| Global SLP OT PT & Psychological Services, PLLC | Physical Therapist | Current | Accepting new patients |
Locations
21301 Northern Blvd
Fl 2
Bayside, NY 11361
Phone (718) 721-5444
1500 Hempstead Tpke
East Meadow, NY 11554
Phone 51673977331420
16210 Jamaica Ave
Ste 7
Jamaica, NY 11432
Phone (718) 454-2700
1979 Marcus Ave
Ste 204
New Hyde Park, NY 11042
Phone (516) 327-4681
159 E 125th St
Fl 2
New York, NY 10035
Phone (212) 360-5600
Organizations & group practices 6
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.
-
- Voluntary or Charitable Agency
- East Meadow, NY
- NPI 1174563936
-
- Specialist
- East Meadow, NY
- NPI 1134589609
-
- Speech-Language Pathologist
- Lake Success, NY
- NPI 1568093771
Physical Therapist
-
- Clinic/Center
- New York, NY
- NPI 1497709166
-
dba E.P.I.C. Clinical Care
- Voluntary or Charitable Agency
- Garden City, NY
- NPI 1467755785
-
- Voluntary or Charitable Agency
- Hollis, NY
- NPI 1164629788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208131200000",
"number": "1386818128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 BEACH 92ND ST",
"address_2": "APT 1",
"city": "ROCKAWAY BEACH",
"state": "NY",
"postal_code": "116931540",
"telephone_number": "718-634-3727",
"fax_number": "718-835-5008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 BEACH 92ND ST",
"address_2": "1",
"city": "ROCKAWAY BEACH",
"state": "NY",
"postal_code": "116931540",
"telephone_number": "718-634-3727",
"fax_number": "718-835-5008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADEYEMI",
"first_name": "ADEREMI",
"middle_name": "ISOLA",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-14",
"last_updated": "2008-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "013123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockaway Beach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.