Oladipupo Sam Ajayi

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

29226 Issued in MD

Practice address

497 Main St FL 1
Prince Frederick, MD 20678-3189

Phone

(410) 414-3560

NPI assigned

Nov 17, 2022

Last updated

Nov 17, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 MD

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sage Physical Therapy & Wellness LLC

  dba Advanced Physical Therapy

  • Physical Therapy Clinic/Center
  • Cambridge, MD
  • NPI 1467757575

  Physical Therapist

  Medicare reassignment NPD
• Sports Physical Therapy of Towson, P.a.

  • Physical Therapist
  • Towson, MD
  • NPI 1770650392
  NPD (past)

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1043929177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 STREAM VISTA PL APT 305",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206017295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 MAIN ST FL 1",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783189",
            "telephone_number": "410-414-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJAYI",
        "first_name": "OLADIPUPO",
        "middle_name": "SAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-17",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "29226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Pain Management Specialists, LLC (Clearway Pain Solutions)
• Advantage Psychiatric Services LLC
• Alaa Ahmed, MD, PHD, MPH
• Bilal Ahmed, MD
• Sonia Saddaf Ahsan, D.D.S
• Ramzi S. Alami, MD
• Siamak Alemansour, D.D.S.
• Ashleigh Hope Alexander, DDS
• Shaurice Allen
• Ruby C Alonzo, M.D.

• Physical Therapist in Prince Frederick, MD
• Providers in Prince Frederick, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.