Devine Grace Incorporated

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

DEVINE GRACE INCORPORATED

Practice address

1534 Route 52 Ste G
Fishkill, NY 12524-1632

Phone

(845) 765-1037

Fax

(845) 765-1038

NPI assigned

Dec 7, 2023

Organization subpart

No

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

Authorized official

Name

Dr. James Bamidele Akinwunmi, PT,DPTNPI 1174778831

Title

Owner

Phone

(845) 765-1037

Specialties & licenses 1

Addresses

Other names 1

• DEVINE GRACE PHYSICAL THERAPY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Bamidele Akinwunmi, DPT

  • Physical Therapist
  • Fishkill, NY
  • NPI 1174778831
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1821865049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 TREE LINE CT",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125242854",
            "telephone_number": "845-275-4436",
            "fax_number": "845-765-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1534 ROUTE 52 STE G",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125241632",
            "telephone_number": "845-765-1037",
            "fax_number": "845-765-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVINE GRACE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "AKINWUNMI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "BAMIDELE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-765-1037",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT,DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DEVINE GRACE PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Fishkill, NY
• Providers in Fishkill, 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 Dec 7, 2023; 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.