Organization
BODY OPULENCE THERAPY AND PERFORMANCE
Active
Other names
Opulent Rehab Services
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN ONUSELOGU DPT (PHYSICAL THERAPIST)
(773) 503-7511
Entity
Organization
Contact information
Practice address
1848 E 87TH AVE, MERRILLVILLE, IN 46410-7187
(773) 503-7511
Mailing address
5534 SAINT JOE RD, FORT WAYNE, IN 46835-3328
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251E1200X
Ergonomics Physical Therapist
—
—
2251G0304X
Geriatric Physical Therapist
—
—
2251N0400X
Neurology Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
07/16/2020
Last updated
07/16/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up