Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Damilola Jane Olatunbosun

Individual provider Physical Therapist · NPI 1134996424

Damilola Jane Olatunbosun is a Physical Therapist in Private Practice in Carbondale, Illinois. Qualified in 2017, 9 years ago. Practices with Athletico Ltd, a 2,186-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
9
Licensed in
IL
In the registry since
2023
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Practice location Address checks out

900 E Walnut St Ste 1
Carbondale, IL 62901-3132
Phone: (618) 319-7540
Fax: (618) 319-7542
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1256 W Boughton Rd, Bolingbrook, IL 60440-6568 — (630) 378-9420
  • 16819 Torrence Ave, Lansing, IL 60438-6019 — (708) 394-5215

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070-027954 (IL)

Record details

NPI number1134996424
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 6, 2023
Last updated in NPPESNovember 26, 2025
Certification dateNovember 26, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Carbondale