Individual provider Active NPI

Olutomi Atunrase, PT, DPT

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1679971048
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1253107 Issued in TX
Practice address
6315 Gulfton St Ste 300
Houston, TX 77081-1107
Phone
(713) 255-2347
Fax
(713) 457-4385
NPI assigned
Dec 16, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 038326-1 NY
Physical Therapist 225100000X 1253107 TX Primary

Addresses

Primary practice location

6315 Gulfton St Ste 300
Houston, TX 77081-1107

Mailing address

PO Box 740038
Houston, TX 77274-0038
Phone (713) 893-3376

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170330000065 TX Practitioner - Physical Therapist in Private Practice 2769767987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rock Rehabilitation LLCGroup PAC ID 1850676073, 2 clinicians

Practice addresses (Care Compare)

9301 Southwest Fwy
Suite 370
Houston, TX 77074-1509
Phone (713) 255-2347

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038326-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rock Rehabilitation LLC Physical Therapist CurrentSince Mar 3, 2021 Accepting new patients

Locations

15840 FM 529 Rd
Ste 101
Houston, TX 77095
Phone (713) 255-2347

6315 Gulfton St
Ste 300
Houston, TX 77081
Phone (713) 255-2347

9301 Southwest Fwy
Ste 370
Houston, TX 77074
Phone (713) 255-2347

Organizations & group practices 1

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": "1418688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1679971048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740038",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772740038",
            "telephone_number": "713-893-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6315 GULFTON ST STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770811107",
            "telephone_number": "713-255-2347",
            "fax_number": "713-457-4385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATUNRASE",
        "first_name": "OLUTOMI",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-16",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "038326-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1253107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.