Individual provider Active NPI

Olakunle Onilari

  • Physical Therapist
  • Wyncote, PA
National Provider Identifier
1629198692
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 009480L Issued in PA
Practice address
1245 Church Rd
Wyncote, PA 19095-1800
Phone
(215) 884-9990
NPI assigned
Mar 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT 009480L PA Primary

Addresses

Primary practice location

1245 Church Rd
Wyncote, PA 19095-1800

Mailing address

5149 N Hunters CT
Bensalem, PA 19020-2331
Phone (215) 639-0964

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
PT 009480LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Therapy, Inc Physical Therapist Past Accepting new patients
Benchmark Therapy, Inc Past Accepting new patients
Benchmark Therapy, Inc. Past Accepting new patients

Organizations & group practices 3

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": "1175299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629198692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5149 N HUNTERS CT",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190202331",
            "telephone_number": "215-639-0964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 CHURCH RD",
            "city": "WYNCOTE",
            "state": "PA",
            "postal_code": "190951800",
            "telephone_number": "215-884-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONILARI",
        "first_name": "OLAKUNLE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT 009480L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyncote, PA

Sources for this page

  • 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.