Olumide T. Aderoba, PT.DPT.MS.GCS
Individual provider Active NPI Physical Therapist · Spring Hill, TN
NPI 1710197538 · NPPES record last updated Sep 17, 2010
Key facts
- NPI
- 1710197538
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT0000003167 (TN)
- Practice address
- 5226 Columbia Pike
Suite3, Building D
Spring Hill, TN 37174-7409 - Phone
- (615) 302-1371
- Fax
- (615) 302-0271
- NPI assigned
- May 23, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT0000003167 | TN | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT0000003167 | TN | Yes |
Addresses
Primary practice location
5226 Columbia Pike
Suite3, Building D
Spring Hill, TN 37174-7409
Mailing address
2325 Westgate CT
Columbia, TN 38401-0728
Phone (931) 540-0665
Other providers in Spring Hill, TN
- Access Dental of Spring Hill, PLLC
- John Charles Adams
- Ahmad Adhami
- Sharon S Adhami
- Advanced Diagnostic Imaging, PC
- Advanced Diagnostic Imaging, PC
- Advanced Foot & Ankle Care Centers
All providers in Spring Hill, TN · Physical Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.