Organization Active NPI

Jamaica Physical Therapy, P.C.

  • Physical Therapist
  • Jamaica, NY
National Provider Identifier
1942468467
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
JAMAICA PHYSICAL THERAPY, P.C.
Practice address
9050 Parsons Blvd
Suite 308
Jamaica, NY 11432-6052
Phone
(718) 297-3699
Fax
(718) 297-3680
NPI assigned
May 30, 2008
Last updated
May 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
Dr. Sam Olaogun, P.T.,D.P.T
Title
Director
Phone
(718) 297-3699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

9050 Parsons Blvd
Suite 308
Jamaica, NY 11432-6052

Mailing address

9050 Parsons Blvd
Suite 308
Jamaica, NY 11432-6052
Phone (718) 297-3699

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120220000029 NY Part B Supplier - Clinic/Group Practice 2769373828 Receives reassigned benefits from 1 practitioner
Practice locations: Jamaica, NY

National Provider Directory

National Provider Directory

Locations

9050 Parsons Blvd
Ste 308
Jamaica, NY 11432
Phone (718) 297-3699

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1942468467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9050 PARSONS BLVD",
            "address_2": "SUITE 308",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114326052",
            "telephone_number": "718-297-3699",
            "fax_number": "718-297-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 PARSONS BLVD",
            "address_2": "SUITE 308",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114326052",
            "telephone_number": "718-297-3699",
            "fax_number": "718-297-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMAICA PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "OLAOGUN",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-297-3699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "P.T.,D.P.T"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.