Individual provider Active NPI

Feyisara Adaramola, PT

  • Physical Therapist
  • Greenwich, CT
National Provider Identifier
1649664327
Registry record updated May 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9970 Issued in CT
Practice address
6 Greenwich Office Park
40 Valley Drive
Greenwich, CT 06831-5151
Phone
(203) 869-1145
Fax
(203) 618-1721
NPI assigned
Mar 20, 2015
Last updated
May 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2019

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 9970 CT Primary

Addresses

Primary practice location

6 Greenwich Office Park
40 Valley Drive
Greenwich, CT 06831-5151

Mailing address

6 Greenwich Office Park
40 Valley Drive
Greenwich, CT 06831-5151
Phone (203) 869-1145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190620001465 NY Practitioner - Physical Therapist in Private Practice 8426391160 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Anchor Health Homecare Services IncGroup PAC ID 2163802570, 96 clinicians
Mobility Health Physical Therapy PLLCGroup PAC ID 5193246775, 5 clinicians

Practice addresses (Care Compare)

Brooklyn, NY 11206
Phone (718) 701-7300

10545 Ave M
Brooklyn, NY 11236-4603
Phone (212) 499-4962

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9970CTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Services of Flatiron PC Physical Therapist CurrentSince Sep 15, 2023 Accepting new patients
Anchor Health Homecare Services Inc Physical Therapist CurrentSince Sep 15, 2023 Accepting new patients
Mobility Health Physical Therapy PLLC Physical Therapist CurrentSince Jan 28, 2025 Accepting new patients

Locations

46 Cook St
Brooklyn, NY 11206
Phone (718) 701-7300

138 5th Ave
Fl 2
New York, NY 10011
Phone (212) 287-4257

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1426809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1649664327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 GREENWICH OFFICE PARK",
            "address_2": "40 VALLEY DRIVE",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068315151",
            "telephone_number": "203-869-1145",
            "fax_number": "203-618-1721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 GREENWICH OFFICE PARK",
            "address_2": "40 VALLEY DRIVE",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068315151",
            "telephone_number": "203-869-1145",
            "fax_number": "203-618-1721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADARAMOLA",
        "first_name": "FEYISARA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-20",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "9970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.