John Kenn Ekundayo, OTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

1568 Issued in TN

Practice address

928 Old Smithville Rd
NHC McMinnville
McMinnville, TN 37110

Phone

(931) 473-8431

Fax

(931) 473-3941

NPI assigned

Oct 28, 2006

Last updated

Jul 8, 2007By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1161993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497831853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 ORIOLE DRIVE",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "37110",
            "telephone_number": "931-507-6048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 OLD SMITHVILLE RD",
            "address_2": "NHC MCMINNVILLE",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "37110",
            "telephone_number": "931-473-8431",
            "fax_number": "931-473-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKUNDAYO",
        "first_name": "JOHN",
        "middle_name": "KENN",
        "name_prefix": "Mr.",
        "credential": "OTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TN",
            "license": "1568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapy Assistant in McMinnville, TN
• Providers in McMinnville, TN by specialty
• Occupational Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.