Individual provider Active NPI

Nofisat Onatunde

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1851902613
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
045918 Issued in NY
Practice address
52 Amador St
Staten Island, NY 10303-1709
Phone
(134) 755-9766
NPI assigned
Aug 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 045918 NY Primary

Addresses

Primary practice location

52 Amador St
Staten Island, NY 10303-1709

Mailing address

52 Amador St
Staten Island, NY 10303-1709
Phone (134) 775-5976

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL NA
CONNECT URL NA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250303001999 NY Practitioner - Physical Therapist in Private Practice 9830610112 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ats Rehab OT and PT and SLP PLLCGroup PAC ID 2567734452, 39 clinicians
My Medical PCGroup PAC ID 0143610600, 93 clinicians
Prestige Rehab LLCGroup PAC ID 3375936495, 59 clinicians

Practice addresses (Care Compare)

110 Henderson Ave
Staten Island, NY 10301-2108
Phone (718) 809-4370

110 Meisner Ave
Staten Island, NY 10306-1236
Phone (718) 554-8700

16 W 16TH St
Apt 4PN
New York, NY 10011-0173
Phone (855) 678-8887

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peyman Younesi MD PLLC CurrentSince Sep 27, 2025 Accepting new patients
Prestige Rehab Ny LLC Physical Therapist CurrentSince Feb 10, 2025 Accepting new patients
Ats Rehab OT & PT & SLP PLLC Physical Therapist CurrentSince Apr 24, 2025 Accepting new patients
Prestige Rehab LLC Physical Therapist CurrentSince Feb 10, 2025 Accepting new patients
My Medical PC CurrentSince Dec 26, 2025 Accepting new patients

Locations

1105 E County Line Rd
Ste 213
Lakewood, NJ 08701

3438 Bell Blvd
Ste 301
Bayside, NY 11361

147 2nd Ave
Brentwood, NY 11717
Phone (631) 273-7204

2830 Pitkin Ave
Brooklyn, NY 11208
Phone (347) 420-8295

10825 Horace Harding Expy
Flushing, NY 11368
Phone (516) 216-4108

8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777

274 W Broadway
Long Beach, NY 11561
Phone (516) 431-1400

822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207

110 Henderson Ave
Staten Island, NY 10301
Phone (516) 295-1924

110 Meisner Ave
Staten Island, NY 10306
Phone (718) 554-8700

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1851902613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 AMADOR ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103031709",
            "telephone_number": "134-775-5976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 AMADOR ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103031709",
            "telephone_number": "134-755-9766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONATUNDE",
        "first_name": "NOFISAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-13",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "045918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "52 Amador St",
            "city": "Staten Island",
            "state": "NY",
            "country_code": "US",
            "postal_code": "103031709",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "52 Amador St",
            "city": "Staten Island",
            "state": "NY",
            "country_code": "US",
            "postal_code": "103031709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.