Individual provider Active NPI

Adebayo Oke, DPT

  • Physical Therapist
  • Deland, FL
National Provider Identifier
1467236455
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT40528 Issued in FL
Practice address
151 Victoria Commons Blvd Ste 107
Deland, FL 32724-7722
Phone
(386) 943-4690
NPI assigned
Aug 22, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT40528 FL Primary

Addresses

Primary practice location

151 Victoria Commons Blvd Ste 107
Deland, FL 32724-7722

Mailing address

3052 Blaine Cir
Deltona, FL 32738-5329
Phone (386) 847-6585

Other practice location 1

1053 Medical Center Dr Ste 151
Orange City, FL 32763-8261
Phone (386) 917-5160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT40528FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital-West Volusia Inc PastSince Sep 5, 2023 Accepting new patients
Southwest Volusia Healthcare Corporation Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1467236455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3052 BLAINE CIR",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327385329",
            "telephone_number": "386-847-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 VICTORIA COMMONS BLVD STE 107",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327247722",
            "telephone_number": "386-943-4690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1053 Medical Center Dr Ste 151",
            "address_purpose": "LOCATION",
            "city": "Orange City",
            "state": "FL",
            "postal_code": "327638261",
            "country_code": "US",
            "telephone_number": "386-917-5160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKE",
        "first_name": "ADEBAYO",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT40528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.