Active NPI
Olutosin O Okon, PT
- Physical Therapist
- Cedar Rapids, IA
National Provider Identifier
1871664284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 03550
- Practice address
- 402 10TH St SE
Suite 700
Cedar Rapids, IA 52403-2435 - Phone
- (319) 365-9439
- NPI assigned
- Nov 10, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 03550 | IA | Primary |
Addresses
Primary practice location
402 10TH St SE
Suite 700
Cedar Rapids, IA 52403-2435
Mailing address
2109 Holiday Rd
Coralville, IA 52241-2713
Phone (319) 358-6609
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 |
|---|---|---|---|
| 03550 | IA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871664284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2109 HOLIDAY RD",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "522412713",
"telephone_number": "319-358-6609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 10TH ST SE",
"address_2": "SUITE 700",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524032435",
"telephone_number": "319-365-9439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKON",
"first_name": "OLUTOSIN",
"middle_name": "O",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "03550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Rapids, IA
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.