Sean Olaso, DPT,PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01968100 Issued in NJ

Practice address

456 Prospect Ave Ste C
West Orange, NJ 07052-4112

Phone

(973) 651-5000

Fax

(973) 651-5001

NPI assigned

Oct 9, 2020

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Ivyrehab Network Inc.

  • Physical Therapist
  • Hoboken, NJ
  • NPI 1174577274
  NPD (past)

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

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1457959769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 MOTOR PKWY STE 307",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117495258",
            "telephone_number": "631-580-5200",
            "fax_number": "631-760-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 PROSPECT AVE STE C",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524112",
            "telephone_number": "973-651-5000",
            "fax_number": "973-651-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLASO",
        "first_name": "SEAN",
        "credential": "DPT,PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-09",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01968100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Odoemene
• Folarin Odusola, DDS, FAGD
• Ofmeme
• Folasade Oguntola
• Leora Ohevshalom, OTR/L
• Mimi Oliff, PA-C
• Denise Fatima Oliveira, RN
• Christopher Oliveri
• Omon Social Services LLC
• Omon Social Services LLC

• Physical Therapist in West Orange, NJ
• Providers in West Orange, 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 Oct 9, 2020; 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.