Tosin Ademolu Okeyemi IV, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

047314 Issued in NY

Practice address

2115 Surf Avenue
Brooklyn
New York, NY 11224

Phone

(718) 795-7050

Fax

(347) 587-5827

NPI assigned

Jul 22, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1801469325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 OSBORN ST APT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112125746",
            "telephone_number": "347-249-5436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 SURF AVENUE",
            "address_2": "BROOKLYN",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "11224",
            "telephone_number": "718-795-7050",
            "fax_number": "347-587-5827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKEYEMI",
        "first_name": "TOSIN",
        "middle_name": "ADEMOLU",
        "name_suffix": "IV",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "047314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gertrude Okelezo, NP
• Chiadikaobi Chika Okeorji, MD
• Oluwabusayomi Okerayi
• Samantha Okere
• Millicent Chizua Okereke, M.D.
• Ruby Amondi Okidi
• Annalisa Akemi Okimoto, MD
• Jay A Okin, D.C.
• Peter M Okin, MD
• Rona D. Okin, LCSW

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.