DR OMOLOLA OMISHORE PT, P.C.
NPI 1891392940
Physical Therapist - Orthopedic in Brooklyn, NY
About Dr Omolola Omishore Pt, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR OMOLOLA OMISHORE PT, P.C. (NPI 1891392940) is a healthcare organization registered as an orthopedic in Brooklyn, New York and active in the NPI registry since October 2020. The organization lists Omolola Omishore, Physical Therapist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr Omolola Omishore Pt, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Dr Omolola Omishore Pt, P.C., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Dr Omolola Omishore Pt, P.C.'s NPI number?
The NPI number for Dr Omolola Omishore Pt, P.C. is 1891392940. It was assigned to this organization in the NPPES registry on October 1, 2020.
Where is Dr Omolola Omishore Pt, P.C. located?
Dr Omolola Omishore Pt, P.C. is located at 1138 Ocean Ave Apt 6I, Brooklyn, NY 11230. The listed phone number is (917) 319-2245.
What is Dr Omolola Omishore Pt, P.C.'s specialty?
The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.
Is Dr Omolola Omishore Pt, P.C. enrolled in Medicare?
Yes. Dr Omolola Omishore Pt, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dr Omolola Omishore Pt, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Dr Omolola Omishore Pt, P.C.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Dr Omolola Omishore Pt, P.C. was last updated on October 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr Omolola Omishore Pt, P.c. · NPI 1891392940
Orthopedic organization in Brooklyn, New York. Organization record, active in the CMS NPPES registry since October 1, 2020.
## Identity
- **NPI:** 1891392940 (Entity type: Organization)
- **Enumerated:** October 1, 2020
- **Primary specialty:** Physical Therapist - Orthopedic · taxonomy 2251X0800X
- **Organization subpart:** No
- **Authorized official:** Omolola Omishore, PHYSICAL THERAPIST
## Practice location
- **Address:** 1138 OCEAN AVE APT 6I, Brooklyn, NY 11230
- **Phone:** (917) 319-2245
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Physical Therapist in Private Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 1, 2020
---
Source: [NPI Profile](https://npiprofile.com/npi/1891392940) · Data from the CMS NPPES public registry.