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

Dr. Omolola Omishore, PT, DPT, ATC

Individual provider Physical Therapist · NPI 1366890089

Dr. Omolola Omishore, PT, DPT, ATC is a Physical Therapist in Private Practice in Quartz Hill, California. Graduated from University of Miami, Lm Miller School of Medicine in 2014, 12 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California and New York.

Years since qualifying
12
Trained at
University of Miami, Lm Miller School of Medicine
Licensed in
CA, NY
In the registry since
2016
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

43415 Hampton St
Quartz Hill, CA 93536
Phone: (917) 319-2245
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 040108 (NY)
Physical Therapist Taxonomy 225100000X · Licence 41650 (CA)

Record details

NPI number1366890089
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT , ATC
Sole proprietorYes
NPI enumeratedJune 3, 2016
Last updated in NPPESJune 3, 2016

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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