Active NPI
Babajide Adebusoye
- Geriatric Physical Therapist
- Bridgeport, CT
National Provider Identifier
1831881267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- Practice address
- 1347 Sylvan Ave
Bridgeport, CT 06606-2541 - Phone
- (845) 625-2816
- NPI assigned
- May 24, 2023
- Last updated
- May 24, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | NU | Primary |
Addresses
Primary practice location
1347 Sylvan Ave
Bridgeport, CT 06606-2541
Mailing address
1347 Sylvan Ave
Bridgeport, CT 06606-2541
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prokinetics Physical Therapy P.C. | Geriatrics | Current | Accepting new patients |
Locations
174 Bay 29th St
Ste C1
Brooklyn, NY 11214
Phone (646) 750-4455
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684886400000",
"number": "1831881267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1347 SYLVAN AVE",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066062541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1347 SYLVAN AVE",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066062541",
"telephone_number": "845-625-2816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADEBUSOYE",
"first_name": "BABAJIDE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-05-24",
"last_updated": "2023-05-24",
"certification_date": "2023-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.