Mobolaji Lipede, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

11556 Burbank Blvd Apt 303
North Hollywood, CA 91601-2351

Phone

(972) 352-7626

NPI assigned

Jan 9, 2021

Last updated

Feb 19, 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 2

Addresses

Other names 1

• Mobolaji Shoyinka Former name

Medicare fee-for-service enrollment

Enrolled in CA

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.

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  • NPI 1225496540

  CA, Physical Therapist

  Medicare reassignment NPD
• Orthopaedic and Neurological Rehabilitation, Speech Pathology, Inc

  • Rehabilitation Clinic/Center
  • Tustin, CA
  • NPI 1548940885
  NPD
• MD Solutions Medical Corp

  dba Unified Health care Inc.

  • Dermatology Physician
  • Sherman Oaks, CA
  • NPI 1902837735
  NPD (past)

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

{
    "created_epoch": "1610150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1073101556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11556 BURBANK BLVD APT 303",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916012351",
            "telephone_number": "972-352-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11556 BURBANK BLVD APT 303",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916012351",
            "telephone_number": "972-352-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPEDE",
        "first_name": "MOBOLAJI",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-09",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "PT40115",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOBOLAJI",
            "last_name": "SHOYINKA",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lifeline RX Inc (Lifeline Pharmacy)
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• Pamela Lima
• Marisa Linski
• John Lira
• Chester Litvin, PHD
• Live Love Smile Home Health, Inc.
• Live Well Recovery Center Inc
• LLB Home Healthcare Inc

• Physical Therapist in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.