Active NPI
Theodore Okosi, PT, DPT
- Physical Therapist
- Lakewood, NJ
National Provider Identifier
1619547759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01504000
- Practice address
- 685 River Ave
Lakewood, NJ 08701-5288 - Phone
- (732) 367-3667
- NPI assigned
- Jun 30, 2021
- Sex
- Male
- Sole proprietor
- No
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 | 40QA01504000 | NJ | Primary |
Addresses
Primary practice location
685 River Ave
Lakewood, NJ 08701-5288
Mailing address
49 Greenwich Dr
Jackson, NJ 08527-4878
Phone (908) 839-2960
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Medicaid | NJ |
Other names 1
- Dr. Ted C Okosi
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | na | Direct | Tender Touch Health Care Services |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01504000 | NJ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625011200000",
"number": "1619547759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 GREENWICH DR",
"city": "JACKSON",
"state": "NJ",
"postal_code": "085274878",
"telephone_number": "908-839-2960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "685 RIVER AVE",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087015288",
"telephone_number": "732-367-3667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKOSI",
"first_name": "THEODORE",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-30",
"last_updated": "2021-06-30",
"certification_date": "2021-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01504000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NA",
"state": "NJ"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "na",
"affiliation": "Y",
"endpointDescription": "na",
"affiliationName": "Tender Touch Health Care Services",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "685 River Ave",
"city": "Lakewood",
"state": "NJ",
"country_code": "US",
"postal_code": "087015228",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "TED",
"last_name": "OKOSI",
"middle_name": "C",
"prefix": "DR.",
"credential": "PT, DPT",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.