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

Olatunji Gbotosho

Individual provider Physical Therapist · NPI 1669615373

Olatunji Gbotosho is a Physical Therapist in Private Practice in White Plains, New York. Qualified in 1992, 34 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
34
Licensed in
NY
In the registry since
2009
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Practice location Address checks out

102 Gibson Ave
White Plains, NY 10607-2030
Phone: (914) 948-7641
Fax: (914) 948-7652
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 017179 (NY)

Record details

NPI number1669615373
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 10, 2009
Last updated in NPPESApril 10, 2009

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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