Individual provider Active NPI

Messaiah Oyelola Oyelola, P.T.

  • Physical Therapist
  • Valley Stream, NY
National Provider Identifier
1881929164
Registry record updated Oct 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
016880 Issued in NY
Practice address
27 Henrietta Street
Valley Stream, NY 11580
Phone
(347) 675-2562
NPI assigned
Oct 5, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2009

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 016880 NY Primary

Addresses

Primary practice location

27 Henrietta Street
Valley Stream, NY 11580

Mailing address

Ila-Odo,
Osogbo, OSUN 0000
NG

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

LicenseStateTypeSpecialty
016880NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254700800000",
    "number": "1881929164",
    "addresses": [
        {
            "country_code": "NG",
            "country_name": "Nigeria",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "ILA-ODO,",
            "city": "OSOGBO",
            "state": "OSUN",
            "postal_code": "0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 HENRIETTA STREET",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "11580",
            "telephone_number": "347-675-2562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYELOLA",
        "first_name": "MESSAIAH",
        "middle_name": "OYELOLA",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-05",
        "last_updated": "2009-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "016880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; 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.