Omoruyi Okundaye

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

733127 Issued in WI

Practice address

815 Mount Vernon St
Oshkosh, WI 54901-4531

Phone

(708) 315-4932

NPI assigned

Jul 8, 2026

Last updated

Jul 8, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1783468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1891613774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 MOUNT VERNON ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549014531",
            "telephone_number": "708-315-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 MOUNT VERNON ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549014531",
            "telephone_number": "708-315-4932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKUNDAYE",
        "first_name": "OMORUYI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-07-08",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "733127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Oestreich
• Kelsie R Oestreich
• Shelley Offermann, RN
• Brandon Ohlrich
• Kingston Okrah, MD
• Olalekan Graham Olatunji, OTR/L
• Michael Olig
• Candice Oliphant, P.T.
• Shannon Olk
• Joseph Edward Olsen, D.M.D.

• Occupational Therapy Assistant in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Occupational Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.