Temitope Oluwole Fatiregun, B.SC RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501007765 Issued in MI

Practice address

20510 Fenkell St
Detroit, MI 48223-1613

Phone

(313) 534-6611

NPI assigned

Aug 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• St Jude's Home Care Services LLC

  dba St Jude's Private Duty and Staffing

  • In Home Supportive Care Agency
  • Sterling Heights, MI
  • NPI 1861151219
  NPD Authorized official
• Francrachel (U.S.a) L.L.C

  • Physical Therapist
  • Southfield, MI
  • NPI 1801905443
  NPD (past) Authorized official
• Great Lakes Administrative Services LLC

  dba Great Lakes Pain & Injury Chiropractic Center

  • Chiropractor
  • Westland, MI
  • NPI 1255505160
  NPD (past)
• Mercy Homecare, Inc.

  • Home Health Agency
  • Southfield, MI
  • NPI 1750451605
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023126190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28298 HOOVER RD",
            "address_2": "APT-4",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480934121",
            "telephone_number": "586-491-5551",
            "fax_number": "586-573-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20510 FENKELL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482231613",
            "telephone_number": "313-534-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATIREGUN",
        "first_name": "TEMITOPE",
        "middle_name": "OLUWOLE",
        "name_prefix": "Mr.",
        "credential": "B.SC  RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501007765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4693557",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Misbah Fatima
• Nusrath Fatima, M.D.
• Rida Fatima, MBBS
• Saman Fatima, M.D.
• Zairah Fatima
• Lubna Iqbal Fatiwala, MD
• Khairya Fatouh, MD
• D'Ann A Faulks-Blount, LPN
• Nicholas Fred Faust, DO
• Robert Booth Faust

• Physical Therapist in Detroit, MI
• Providers in Detroit, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.