OLALEKAN LUKMAN GANIYU (NPI# 1366548919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366548919 |
| Entity Type | Individual |
| Full Name | OLALEKAN LUKMAN GANIYU |
| Credential | PT, MHSC, MTC |
| Practice Address |
2500 W Silver Spring Dr Ste A Glendale WI 53209-4218 |
| Practice Telephone | 6083689783 |
| Practice Fax Number | 6083689784 |
| Mailing Telephone | 6083689783 |
| Mailing Fax Number | 6083689784 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2019-08-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
024- 5648 | WI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 40403900 | 05 |
| Street Address |
2500 W SILVER SPRING DR STE A |
| City | GLENDALE |
| State | WI |
| Zip Code | 53209-4218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750376091 | Jacqueline C Howell | Pediatrics | 2500 W Silver Spring Dr, Glendale, WI 53209-4218 | 2005-09-13 |
| 1386190247 | Providence Family Pharmacy LLC | Pharmacy | 2500 W Silver Spring Dr, Glendale, WI 53209-4218 | 2016-08-31 |
| 1861857542 | Providence Family Medical Clinic S.c | Clinic/Center | 2500 W Silver Spring Dr, Glendale, WI 53209-4218 | 2015-12-22 |
| 1417271909 | Andrew Alan Lijewski | Chiropractor | 2500 W Silver Spring Dr, Glendale, WI 53209-4218 | 2010-03-26 |
| 1134394471 | Children's Medical Group | Pediatrics | 2500 W Silver Spring Dr, Suite C, Glendale, WI 53209-4218 | 2008-04-28 |
| 1619932126 | Adedapo F Okusanya | Emergency Medicine | 2500 W Silver Spring Dr, Glendale, WI 53209-4218 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780238253 | Niajcia Brookshire | Counselor | 3900 W Brown Deer Rd Suite 200, Brown Deer, WI 53209 | 2019-08-01 |
| 1740751015 | Mary Fuller | Home Health Aide | 3043 N 29th St., Milwaukee, WI 53209 | 2018-12-16 |
| 1154869410 | Jacksonscott2 | Skilled Nursing Facility | 4573 N. 22nd Street, Milwaukee, WI 53209 | 2017-02-07 |
| 1669910469 | Dimera House | In Home Supportive Care | 4002 W Fairount Ave, Milwaukee, WI 53209 | 2017-02-01 |
| 1891248340 | Amy L May | Nurse Practitioner | 3303 W Good Hope Rd, Milwaukee, WI 53209 | 2016-08-02 |
| 1871980193 | Alan R Rosenthal | Pharmacist | 6930 N Beech Tree Dr, Milwaukee, WI 53209 | 2015-04-24 |
| 1104212380 | Reema Shah | Student in an Organized Health Care Education/Training Program | 2400 W. Villard Ave, Milwaukee, WI 53209 | 2015-04-14 |
| 1336534403 | Robert Michael Kitsis | Family Medicine | 9252 N Green Bay Rd Fl 2, Brown Deer, WI 53209 | 2015-04-05 |
| 1962891994 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Public Health or Welfare | 8330 North Teutonia Ave Suite 103, Brown Deer, WI 53209 | 2015-01-14 |
| 1548659634 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Early Intervention Provider Agency | 8330 North Teutonia Avenue Suite 103, Brown Deer, WI 53209 | 2015-01-13 |
| Find all providers in zip 53209 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787094 | Movement System Institute Physiotherapy Inc | Clinic/Center | 508 Glenwood Rd Apt 102, Glendale, CA 91202-1572 | 2020-10-09 |
| 1265072904 | Wyatt Robert Wichman | Clinic/Center | 100 W Broadway Ste 750, Glendale, CA 91210-1215 | 2020-01-10 |
| 1902461312 | Mighty Oaks Therapy Pllc | Clinic/Center | 20329 N 59th Ave Ste A5, Glendale, AZ 85308-6854 | 2019-05-01 |
| 1700305596 | Foothills Sports Medicine & Physical Therapy - Stetson Village, LLC | Clinic/Center | 3850 W Happy Valley Rd Ste 147149, Glendale, AZ 85310-3280 | 2017-09-13 |
| 1003358607 | Aris Health Corp | Clinic/Center | 17100 N 67th Ave Bldg 1, Glendale, AZ 85308-3605 | 2016-11-14 |
| 1265808240 | Orthosports Physical Therapy | Clinic/Center | 5620 W Thunderbird Rd Ste B1, Glendale, AZ 85306-4638 | 2015-08-13 |
| 1306140801 | Annette Tamraz Physical Therapy Inc | Clinic/Center | 1000 N Central Ave Ste 220, Glendale, CA 91202-2957 | 2010-12-27 |
| 1952388639 | Pon Physical Therapy Inc | Clinic/Center | 1944 W Glenoaks Blvd, Glendale, CA 91201-1644 | 2005-12-23 |
| 1902375405 | Foothills Sports Medicine & Physical Therapy - Glendale LLC | Clinic/Center | 19420 N 59th Ave Ste H830, Glendale, AZ 85308-6980 | 2018-11-14 |
| 1093216624 | Bhsm Rehabilitation, LLC | Clinic/Center | 4344 W Bell Rd Ste 100, Glendale, AZ 85308-3589 | 2018-02-28 |
| Find all providers in GLENDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.