OLUWASEUN AMBODE
NPI 1437662293
Physical Therapist in Great Neck, NY

Active since November 14, 2017
475 NORTHERN BLVD STE 11, GREAT NECK, NY 11021(516) 829-0030(516) 466-7723 Get Directions Write a Review

NPPES record last updated: November 14, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Oluwaseun Ambode NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLUWASEUN AMBODE (NPI 1437662293) is an individual physical therapist in Great Neck, New York, licensed in New York (042239) and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1437662293
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameOLUWASEUN AMBODE
Location Address475 NORTHERN BLVD STE 11Great Neck, NY 11021-4802
Mailing Address475 Northern Blvd Ste 11Great Neck, NY 11021-4802 · (516) 829-0030 · Fax (516) 466-7723
Fax(516) 466-7723
Sole ProprietorNo
Enumeration DateNovember 14, 2017
✔ NPI 1437662293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in NY · 042239
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • 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.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
475 NORTHERN BLVD STE 11, Great Neck, NY 11021

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oluwaseun Ambode is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Oluwaseun Ambode reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
1426 CLAIRE AVE
Redlands, CA 92374
  • Reassigned Medicare billing, California enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
475 NORTHERN BLVD STE 11
GREAT NECK, NY 11021
Physical Therapist
475 NORTHERN BLVD STE 11
GREAT NECK, NY 11021
Physical Therapist
475 NORTHERN BLVD STE 11
GREAT NECK, NY 11021
Physical Therapist
475 NORTHERN BLVD STE 11
GREAT NECK, NY 11021
Physical Therapist
475 NORTHERN BLVD STE 11
GREAT NECK, NY 11021
Physical Therapist
475 NORTHERN BLVD STE 11
GREAT NECK, NY 11021
Physical Therapist
475 NORTHERN BLVD STE 11
GREAT NECK, NY 11021
Physical Therapist
475 NORTHERN BLVD STE 11
GREAT NECK, NY 11021

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 Oluwaseun Ambode's NPI number?

The NPI number for Oluwaseun Ambode is 1437662293. It was assigned to this individual provider in the NPPES registry on November 14, 2017.

Where is Oluwaseun Ambode located?

Oluwaseun Ambode practices at 475 Northern Blvd Ste 11, Great Neck, NY 11021. The listed phone number is (516) 829-0030.

What is Oluwaseun Ambode's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Oluwaseun Ambode enrolled in Medicare?

Yes. Oluwaseun Ambode is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Oluwaseun Ambode's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Oluwaseun Ambode reassigns Medicare benefits to First-Point Physical Therapy And Rehabilitation Services Inc (Redlands, CA). The 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 Oluwaseun Ambode'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 Oluwaseun Ambode was last updated on November 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.