Active NPI
Olayinka Gbenga Folayan, PT
- Physical Therapist
- Springdale, MD
National Provider Identifier
1003953183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT870759
- 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.
-
- Physical Therapy Clinic/Center
- Springdale, MD
- NPI 1750956389
-
- Home Health Registered Nurse
- Manassas Park, VA
- NPI 1295249688
Physical Therapist
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT870759 | DC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proven Physical Therapy Inc | Current | Accepting new patients | |
| Proven Healthcare Resources Inc. | Physical Therapist | Current | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT870759 | DC | Primary |
Addresses
NPPES NPI RegistryPrimary 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.