Oluwatobi Toluwa Owotomo, DPT

Individual provider Active NPI Physical Therapist · Nichols Hills, OK

NPI 1760338552 · NPPES record last updated Mar 5, 2026

Key facts

NPI
1760338552
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
6248 (OK)
Practice address
1108 W Wilshire Blvd
Nichols Hills, OK 73116-6107
Phone
(347) 216-9667
NPI assigned
Mar 5, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6248OKMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6248 OK Yes

Addresses

Primary practice location

1108 W Wilshire Blvd
Nichols Hills, OK 73116-6107

Mailing address

1108 W Wilshire Blvd
Nichols Hills, OK 73116-6107
Phone (347) 216-9667

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 5, 2026.

{
    "created_epoch": "1772668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1760338552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 W WILSHIRE BLVD",
            "city": "NICHOLS HILLS",
            "state": "OK",
            "postal_code": "731166107",
            "telephone_number": "347-216-9667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 W WILSHIRE BLVD",
            "city": "NICHOLS HILLS",
            "state": "OK",
            "postal_code": "731166107",
            "telephone_number": "347-216-9667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWOTOMO",
        "first_name": "OLUWATOBI",
        "middle_name": "TOLUWA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-05",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "6248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nichols Hills, OK

All providers in Nichols Hills, OK · Physical Therapist in Oklahoma

Sources for this page

Verify at the official NPI Registry.