Brandon Onuselogu, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056.011290I Issued in IL

Practice address

20557 Tyler Dr
Lynwood, IL 60411-8572

Phone

(773) 544-6122

NPI assigned

Nov 30, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Illinois Home Therapy LLC

  • Physical Therapist
  • Skokie, IL
  • NPI 1114506102

  Occupational Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1417490061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20557 TYLER DR",
            "city": "LYNWOOD",
            "state": "IL",
            "postal_code": "604118572",
            "telephone_number": "773-544-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20557 TYLER DR",
            "city": "LYNWOOD",
            "state": "IL",
            "postal_code": "604118572",
            "telephone_number": "773-544-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONUSELOGU",
        "first_name": "BRANDON",
        "name_prefix": "Mr.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-30",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.011290I",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• More Abundant Living Institute, P.C.
• Noble Plus Healthcare
• Abiola Odusanya, DNP, APRN
• Oluwatosin E Ojelabi
• Felicia Abosede Olaifa, PMHNP-BC
• Open Door Behavior Solutions LLC
• Open Door Services
• Orbit Health Care Services
• Sidney Oluwasayo Oyebiyi, DPT
• Charles J Parker, MSW, LCSW, CADC

• Occupational Therapist in Lynwood, IL
• Providers in Lynwood, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.