Tele Ekundayo, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05006304A Issued in IN

Practice address

7250 Arthur Blvd
Merrillville, IN 46410-3766

Phone

(219) 649-7445

Fax

(219) 649-7446

NPI assigned

Apr 19, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Quality Therapy & Consultation, Inc.

  • Physical Therapist
  • Orland Park, IL
  • NPI 1982633715
  NPD (past)

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1396962361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7133 VAN BUREN CT",
            "city": "MERRILLVILLE BRA",
            "state": "IN",
            "postal_code": "464103859",
            "telephone_number": "708-349-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7250 ARTHUR BLVD",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464103766",
            "telephone_number": "219-649-7445",
            "fax_number": "219-649-7446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1546 Water St",
            "address_purpose": "LOCATION",
            "city": "Blue Island",
            "state": "IL",
            "postal_code": "604065094",
            "country_code": "US",
            "telephone_number": "708-272-4432",
            "fax_number": "219-649-7446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16170 Kingsport Rd",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604675602",
            "country_code": "US",
            "telephone_number": "708-349-6544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EKUNDAYO",
        "first_name": "TELE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070011349",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05006304A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eima Zaidi MD
• Eric Eizenga, RN
• Rachel Marie Eizenga
• Ekeh LLC
• Alexander Kelechi Ekeh, RN
• Ahmad Kassem El-Samad, DPM
• Myeesha El
• Elegant Transportation
• Elevated Health & Wellness LLC
• Elite Care Management, LLC

• Physical Therapist in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.