Active NPI
Oluwayomi Olalekan Omosebi, PT
- Physical Therapist
- Hammond, IN
National Provider Identifier
1932738093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05013708A
- Practice address
- 5454 Hohman Ave
Hammond, IN 46320-1931 - Phone
- (219) 322-1600
- NPI assigned
- Apr 2, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 27865 | MD | |
| Physical Therapist | 225100000X | 05013708A | IN | Primary |
Addresses
Primary practice location
5454 Hohman Ave
Hammond, IN 46320-1931
Mailing address
3203 Clarence Ave Apt F2
Berwyn, IL 60402-3559
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 |
|---|---|---|---|
| 05013708A | IN | MD | Physical Therapist |
| 27865 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585785600000",
"number": "1932738093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3203 CLARENCE AVE APT F2",
"city": "BERWYN",
"state": "IL",
"postal_code": "604023559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5454 HOHMAN AVE",
"city": "HAMMOND",
"state": "IN",
"postal_code": "463201931",
"telephone_number": "219-322-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMOSEBI",
"first_name": "OLUWAYOMI",
"middle_name": "OLALEKAN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-02",
"last_updated": "2020-04-02",
"certification_date": "2020-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "27865",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05013708A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hammond, IN
- Oak Ridge Dental & Surgery, LLC
- Occupational Health Centers of the Southwest PA. (Concentra Medical Center)
- Emmanuel Ojomo, MD
- Terreah Oliver
- Marino Adrian Omelanczuk, PTA
- One to One Health (The Center for Healthy Living at PNW)
- Optimum Primary Care LLC
- Maryam Othman, DMD
- Pacific Healthcare, Inc.
- Krishna Pahuja, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.