Olaide Sangoseni, D.P.T., MSCPT, PHD

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2007019090 Issued in MO

Practice address

650 Maryville University Dr
Physical Therapy Program
Saint Louis, MO 63141-5849

Phone

(314) 529-9257

Fax

(314) 529-9495

NPI assigned

Aug 9, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Olaide Oluwolesangoseni Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1249776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372032000000",
    "number": "1639301674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 MARYVILLE UNIVERSITY DR",
            "address_2": "PHYSICAL THERAPY PROGRAM",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631415849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 MARYVILLE UNIVERSITY DR",
            "address_2": "PHYSICAL THERAPY PROGRAM",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631415849",
            "telephone_number": "314-529-9257",
            "fax_number": "314-529-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANGOSENI",
        "first_name": "OLAIDE",
        "name_prefix": "Dr.",
        "credential": "D.P.T., MSCPT, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-09",
        "last_updated": "2013-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2007019090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLAIDE",
            "last_name": "OLUWOLESANGOSENI",
            "prefix": "DR.",
            "credential": "D.P.T., MSCPT, PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tuyche Sang, MD
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• Rachel Lillian Sanger, FNP
• Sahil Paresh Sanghani, MD
• Tejas Sangoi, MD
• Kayla Sangster, ATC
• Sanguine Adult Daycare LLC
• Unknown Sanjna, MD
• Swetha Sankaran, PA
• Alison E Sanker, CRNA

• Physical Therapist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; 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.