Active NPI
Opeyemi Samuel Beloni, PHYSICAL THERAPIST
- Physical Therapist
- Chester, PA
National Provider Identifier
1578063509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 041495
- Practice address
- 349 W 22ND St
Chester, PA 19013-4923 - Phone
- (609) 643-1267
- NPI assigned
- Feb 16, 2018
- Last updated
- Feb 16, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 041495 | NY | Primary |
Addresses
Primary practice location
349 W 22ND St
Chester, PA 19013-4923
Mailing address
349 W 22ND St
Chester, PA 19013-4923
Phone (609) 643-1267
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
| License | State | Type | Specialty |
|---|---|---|---|
| 041495 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518739200000",
"number": "1578063509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "349 W 22ND ST",
"city": "CHESTER",
"state": "PA",
"postal_code": "190134923",
"telephone_number": "609-643-1267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "349 W 22ND ST",
"city": "CHESTER",
"state": "PA",
"postal_code": "190134923",
"telephone_number": "609-643-1267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELONI",
"first_name": "OPEYEMI",
"middle_name": "SAMUEL",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-02-16",
"last_updated": "2018-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "041495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chester, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.