Edolo O Azenabor, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1907 Issued in NH

Practice address

532 Salisbury Dr
Grand Prairie, TX 75052-3172

Phone

(214) 447-7530

Fax

(214) 447-7529

NPI assigned

Aug 23, 2006

Last updated

Apr 7, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Advent Home Care Incorporated

  • Home Health Agency
  • Richardson, TX
  • NPI 1881898229

  5% Or Greater Direct Ownership Interest, Corporate Director

  CMS ownership

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.

• Prime Care Services Incorporated

  • Multi-Specialty Clinic/Center
  • Grand Prairie, TX
  • NPI 1326381401
  Medicare reassignment Authorized official
• Prime Care Attendant Services Incorporated

  • Home Health Agency
  • Grand Prairie, TX
  • NPI 1154099117
  NPD Authorized official

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1033225750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 SALISBURY DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523172",
            "telephone_number": "214-447-7530",
            "fax_number": "214-447-7529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 SALISBURY DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523172",
            "telephone_number": "214-447-7530",
            "fax_number": "214-447-7529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZENABOR",
        "first_name": "EDOLO",
        "middle_name": "O",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "1907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Awake Winners
• Olubunmi Awe, NP
• Preston George Aycox Jr., PHARMD
• Omowunmi Rachael Ayeni
• Oyeniran A Ayodele
• Azora Healthcare LLC
• Amanda Azubike
• B Rai Mehta MD (Grand Prairie Dialysis Center)
• Baby Foodie LLC
• Margaret Badejo

• Physical Therapist in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.