Olayinka Ifeoluwa Adeoya, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05012428A. Issued in IN

Practice address

2137 16TH St
Bedford, IN 47421-3003

Phone

(812) 275-5593

NPI assigned

Nov 29, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Trident Lake Health Inc

  • Physical Therapist
  • Gilbert, AZ
  • NPI 1912708173
  NPD Authorized official
• Vibrantcare Outpatient Rehabilitation West Inc

  • Physical Therapy Clinic/Center
  • Phoenix, AZ
  • NPI 1114921871
  NPD (past)
• Vibrantcare Outpatient Rehabilitation West Inc

  • Physical Therapy Clinic/Center
  • Tucson, AZ
  • NPI 1699779223
  NPD (past)

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511913600000",
    "number": "1659885697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10901 MEADOWGLEN LN APT 272",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770422384",
            "telephone_number": "562-221-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2137 16TH ST",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474213003",
            "telephone_number": "812-275-5593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEOYA",
        "first_name": "OLAYINKA",
        "middle_name": "IFEOLUWA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-29",
        "last_updated": "2017-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05012428A.",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 1 Identity Counseling, LLC
• Jessica R Adams, OTR
• Kellee E. Adams, O.D.
• Sharon Kristine Adams, MSW, LCSW
• Chris Ronald Adamson, MD
• Advanced Audiology & Hearing Care, LLC
• Aegis Women'S Healthcare
• Affordable Hearing AIDS
• Affordable Lab Solutions
• Aged LLC

• All providers in Bedford, IN
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; 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.