Active NPI
Olajide Oluyinka Okunrounmu, RPT
- Physical Therapist
- Dearborn, MI
National Provider Identifier
1679870026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501004276
- Practice address
- 24910 Michigan Ave
Dearborn, MI 48124-1740 - Phone
- (248) 521-6980
- NPI assigned
- Feb 22, 2011
- Last updated
- Nov 16, 2012
- 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 | 5501004276 | MI | Primary |
Addresses
Primary practice location
24910 Michigan Ave
Dearborn, MI 48124-1740
Mailing address
34600 Van Born Rd
Wayne, MI 48184-2769
Phone (248) 521-6980
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 |
|---|---|---|---|
| 5501004276 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osteoporosis Testing Centers Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Dearborn, MI
- NPI 1154628055
-
- Diagnostic Radiology Physician
- Southfield, MI
- NPI 1992866438
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353024000000",
"number": "1679870026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34600 VAN BORN RD",
"city": "WAYNE",
"state": "MI",
"postal_code": "481842769",
"telephone_number": "248-521-6980",
"fax_number": "734-895-9523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24910 MICHIGAN AVE",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481241740",
"telephone_number": "248-521-6980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKUNROUNMU",
"first_name": "OLAJIDE",
"middle_name": "OLUYINKA",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-02-22",
"last_updated": "2012-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501004276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.