Active NPI
Michelle Marie Okunyade, M.S.P.T
- Physical Therapist
- Fort Lauderdale, FL
National Provider Identifier
1790863728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15253
- Practice address
- 1777 N Dixie Hwy
Ft Lauderdale, FL 33305-3103 - Phone
- (954) 980-1485
- NPI assigned
- Nov 1, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 15253 | FL | Primary |
Addresses
Primary practice location
1777 N Dixie Hwy
Ft Lauderdale, FL 33305-3103
Mailing address
3406 Spruce Rd
Hollywood, FL 33021-8420
Phone (954) 322-0406
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15253 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790863728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3406 SPRUCE RD",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330218420",
"telephone_number": "954-322-0406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1777 N DIXIE HWY",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333053103",
"telephone_number": "954-980-1485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKUNYADE",
"first_name": "MICHELLE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "M.S.P.T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "15253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.