Olakunle Akinkunle, DPT
Individual provider Active NPI Physical Therapist · Dumont, NJ
NPI 1780964676 · NPPES record last updated Oct 30, 2019
Key facts
- NPI
- 1780964676
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 175 Washington Ave
Suite 1
Dumont, NJ 07628 - Phone
- (201) 384-3300
- NPI assigned
- Aug 23, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bergen County Chiropractic Center
Practice addresses (Care Compare)
175 Washington Ave
Suite 1
Dumont, NJ 07628-2335
Phone (201) 384-3300
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120402000279 | NJ | Practitioner - Physical Therapist in Private Practice | 4082874839 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current |
Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current |
Accepting new patients |
| Mobile Therapy Services, Inc. | Physical Therapist | Current |
Accepting new patients |
| Prime Rehabilitation Services, Inc. | Physical Therapist | Current |
Accepting new patients |
| Ultima Rehab-NJ LLC | Past | Accepting new patients |
Locations
905 State Route 10
Ste 1
Whippany, NJ 07981
Phone (973) 929-2729
8 John Walsh Blvd
Ste 406A
Peekskill, NY 10566
Phone (732) 440-7858
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 40QA01382000 | NJ | |
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
175 Washington Ave
Suite 1
Dumont, NJ 07628
Mailing address
175 Washington Ave
Suite 1
Dumont, NJ 07628
Phone (201) 384-3300
Other providers in Dumont, NJ
- Above All Care Services LLC
- Sujith M. Abraham
- Acp Psychiatric Services
- Affiliated First Assistant Services LLC
- Ada Aguilar
- Rosebel Aldana
- Muniratu Alhassan I
- Akua Agyeman Amoah
- Rochelle Anterola
- Apt Rehab LLC
All providers in Dumont, NJ · Physical Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.