DR. OMOLOLA OMISHORE PT,DPT,ATC
NPI 1366890089
Physical Therapist in Quartz Hill, CA
About Dr. Omolola Omishore Pt,dpt,atc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. OMOLOLA OMISHORE PT,DPT,ATC (NPI 1366890089) is an individual physical therapist in Quartz Hill, California, licensed in New York (040108) and active in the NPI registry since June 2016. She is a graduate of University Of Miami, Lm Miller School Of Medicine (2014).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Omolola Omishore Pt,dpt,atc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Omolola Omishore reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brooklyn, NY 11230
- Reassigned Medicare billing, New York enrollment
Brooklyn, NY 11229
- Reassigned Medicare billing, New York enrollment
- 446 clinicians in this Medicare group
Oceanside, NY 11572
- Reassigned Medicare billing, New York enrollment
- 155 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 93536 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Omolola Omishore's NPI number?
The NPI number for Omolola Omishore is 1366890089. It was assigned to this individual provider in the NPPES registry on June 3, 2016.
Where is Omolola Omishore located?
Omolola Omishore practices at 43415 Hampton St, Quartz Hill, CA 93536. The listed phone number is (917) 319-2245.
What is Omolola Omishore's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Omolola Omishore enrolled in Medicare?
Yes. Omolola Omishore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Omolola Omishore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Omolola Omishore reassigns Medicare benefits to 3 organizations: Dr Omolola Omishore Pt, P.C. (Brooklyn, NY), New York Physical And Occupational Therapy Services, PLLC (Brooklyn, NY) and Priority One Therapy Pt Ot Slp PLLC (Oceanside, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Omolola Omishore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Omolola Omishore was last updated on June 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.