Ayomide Fasalojo

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1303630 Issued in TX

Practice address

1711 Great Meadows Dr
Katy, TX 77493-2027

Phone

(240) 205-1510

NPI assigned

Jul 6, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Luna Care Physical Therapy LLCGroup PAC ID 0648692723, 271 clinicians

Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Baylor College of MedicineGroup PAC ID 8022243971, 1,230 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Baylor College of Medicine

  • Ph.D. Medical Genetics
  • Houston, TX
  • NPI 1881026664
  Medicare reassignment Care Compare group NPD
• Legacy Healthcare Services Inc.

  • Physical Therapist
  • Cedar Park, TX
  • NPI 1871132357
  Medicare reassignment Care Compare group NPD
• Texas Luna Care Physical Therapy LLC

  • Physical Therapist
  • Southlake, TX
  • NPI 1790309656
  Medicare reassignment Care Compare group NPD
• Age Victoriously LLC

  • Physical Therapy Clinic/Center
  • Houston, TX
  • NPI 1518744861

  Physical Therapist

  Medicare reassignment NPD
• Powerback Rehabilitation LLC

  • Physical Therapist
  • North Richland Hills, TX
  • NPI 1427454164
  Medicare reassignment NPD
• Activerx, Inc.

  • Physical Therapist
  • Scottsdale, AZ
  • NPI 1962668764

  TX

  Medicare reassignment NPD
• Baylor College of Medicine

  • Orthopaedic Surgery Physician
  • Sugar Land, TX
  • NPI 1700683844
  NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489
  NPD
• Powerback Rehabilitation LLC

  • Physical Therapist
  • Woodbridge, VA
  • NPI 1790640761
  NPD

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1033630561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 GREAT MEADOWS DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774932027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 GREAT MEADOWS DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774932027",
            "telephone_number": "240-205-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASALOJO",
        "first_name": "AYOMIDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-06",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT31795",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1303630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Buckminster J Farrow, MD
• Mairah Farrukh, MD
• Desiree A Farthing
• Myra Rafi Faruki, PA-C
• Motunrayo Fasakin
• Sarah Fasfassian, PHARMD
• Fast Track Medical Center
• Fast Twitch Athletic Wellness, LLC
• Israel Fatade
• Huzaifa Fattah

• Physical Therapist in Katy, TX
• Providers in Katy, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.