Individual ProviderOlugbenga O OsunsanmiPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address6127 E Central Ave Ste 200, Wichita, KS 67208-4209(316) 259-3413PECOS EnrollmentBased on the most recent information from CMS, provider Olugbenga O Osunsanmi does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1942267059Provider TypeIndividualFull NameOsunsanmi, Olugbenga OTitleDr.CredentialDPTGenderMaleSole ProprietorNoEnumeration Date5/1/2006Last Updated11/5/2019Contact InformationPractice LocationPractice Address6127 E Central Ave Ste 200, Wichita, KS 67208-4209Phone(316) 259-3413Fax(316) 260-2426Mailing LocationMailing Address6127 E Central Ave Ste 200, Wichita, KS 67208-4209Phone(316) 259-3413Fax(316) 260-2426Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense11-02151KansasProvider IdentifiersIDDescriptionIssuerID200298830ADescriptionMedicaidIssuerUnlistedKansasIDP00237367DescriptionOtherIssuerRR MEDICAREKansasID14274DescriptionOtherIssuerPHSKansasID203667DescriptionOtherIssuerHPKKansasID140812DescriptionOtherIssuerBLUE CROSS BLUE SHIELDKansas