Individual provider Active NPI

Olayinka Gbenga Folayan, PT

  • Physical Therapist
  • Springdale, MD
National Provider Identifier
1003953183
Registry record updated Jan 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT870759 Issued in DC
Practice address
3410 Manderes PL
Springdale, MD 20774-2526
Phone
(240) 899-2251
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT870759DCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Proven Physical Therapy Inc CurrentSince Jun 22, 2021 Accepting new patients
Proven Healthcare Resources Inc. Physical Therapist Current Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT870759 DC Primary

Addresses

NPPES NPI Registry

Primary practice location

3410 Manderes PL
Springdale, MD 20774-2526

Mailing address

3410 Manderes Place
Springdale, MD 20774
Phone (240) 899-2251

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 24, 2017.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1003953183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 MANDERES PLACE",
            "city": "SPRINGDALE",
            "state": "MD",
            "postal_code": "20774",
            "telephone_number": "240-899-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 MANDERES PL",
            "city": "SPRINGDALE",
            "state": "MD",
            "postal_code": "207742526",
            "telephone_number": "240-899-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLAYAN",
        "first_name": "OLAYINKA",
        "middle_name": "GBENGA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT870759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.