Individual provider Active NPI

Aderemi Alao, DPT

  • Physical Therapist
  • Tulsa, OK
National Provider Identifier
1740936400
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5731 Issued in OK
Practice address
2417 E 53Rd St
Tulsa, OK 74105-6600
Phone
(918) 712-8412
Fax
(918) 712-8413
NPI assigned
Feb 22, 2022
Last updated
Feb 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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 5731 OK Primary

Addresses

Primary practice location

2417 E 53Rd St
Tulsa, OK 74105-6600

Mailing address

2417 E 53Rd St
Tulsa, OK 74105-6600
Phone (918) 712-8412

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL therapyconceptstulsa.com Tulsa Ergonomic Consultants, PLLC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220512000581 OK Practitioner - Physical Therapist in Private Practice 0446637417 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5731OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Holdings Inc CurrentSince Apr 6, 2024 Accepting new patients
Select Physical Therapy Holdings Inc Physical Therapist Current Accepting new patients
Select Physical Therapy Holdings Inc CurrentSince Apr 6, 2024 Accepting new patients
Tulsa Ergonomic Consultants, PLLC Physical Therapist CurrentSince Feb 3, 2022 Accepting new patients

Locations

2417 E 53rd St
Tulsa, OK 74105
Phone (918) 351-1781

8110 S Yale Ave
Ste 201
Tulsa, OK 74137
Phone (539) 235-0170

1010 Garth Brooks Blvd
Ste 135
Yukon, OK 73099
Phone (405) 350-2000

Organizations & group practices 4

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": "1645488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1740936400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 E 53RD ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056600",
            "telephone_number": "918-712-8412",
            "fax_number": "918-712-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 E 53RD ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056600",
            "telephone_number": "918-712-8412",
            "fax_number": "918-712-8413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAO",
        "first_name": "ADEREMI",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "5731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "therapyconceptstulsa.com",
            "affiliation": "Y",
            "affiliationName": "Tulsa Ergonomic Consultants, PLLC",
            "address_1": "2417 E 53 St",
            "city": "Tulsa",
            "state": "OK",
            "country_code": "US",
            "postal_code": "741056601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.