Active NPI
Abiola Ajibola, OT
- Occupational Therapist
- Brooklyn, NY
National Provider Identifier
1992414478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 027459-01
- Practice address
- 162 Albany Ave Apt 2a
Brooklyn, NY 11213-2134 - Phone
- (347) 357-8070
- NPI assigned
- Nov 23, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 027459-01 | NY | Primary |
Addresses
Primary practice location
162 Albany Ave Apt 2a
Brooklyn, NY 11213-2134
Mailing address
162 Albany Ave Apt 2a
Brooklyn, NY 11213-2134
Phone (347) 357-8070
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 |
|---|---|---|---|
| 027459-01 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669161600000",
"number": "1992414478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "162 ALBANY AVE APT 2A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112132134",
"telephone_number": "347-357-8070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "162 ALBANY AVE APT 2A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112132134",
"telephone_number": "347-357-8070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AJIBOLA",
"first_name": "ABIOLA",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-23",
"last_updated": "2022-11-23",
"certification_date": "2022-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "027459-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.