Poppy Physical Rehabilitation Consultants

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00832600 Issued in NJ

Legal business name

POPPY PHYSICAL REHABILITATION CONSULTANTS

Practice address

399 Albert Ave
Lakewood, NJ 08701-5406

Phone

(732) 367-0060

NPI assigned

Jul 17, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Adeola O Popoola, PT

Title

President

Phone

(732) 804-7263

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bolanle Popoola, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Lakewood, NJ
  • NPI 1952711194
  NPD (past)
• Rubab Tahira Sheikh, PT

  • Physical Therapist
  • Marlboro, NJ
  • NPI 1255567129
  NPD (past)

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1386843423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 ALBERT AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015406",
            "telephone_number": "732-367-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 ALBERT AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015406",
            "telephone_number": "732-367-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POPPY PHYSICAL REHABILITATION CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "POPOOLA",
        "authorized_official_first_name": "ADEOLA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-804-7263",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00832600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irene Pomper, M.S., CCC
• Pasquale Michael Pontoriero, PHARMD, RPH, CCP
• Rachel Marie Poole
• Adeola Olatunji Popoola, PT,MED
• Bolanle Popoola, APN
• Port Tack, LLC.
• Zev Portnoy, PA-C
• Risha Portowicz
• Positive Behavioral Services
• Kerry Poskay

• Physical Therapist in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.