Active NPI
Yanique Kayana Oluwafemi, DPT
- Physical Therapist
- Baltimore, MD
National Provider Identifier
1073997938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2256
- Practice address
- 9109 Liberty Rd
Patapsco Valley Center
Baltimore, MD 21133 - Phone
- (410) 655-7373
- Fax
- (410) 655-0348
- NPI assigned
- Jul 10, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2256 | MD | Primary |
Addresses
Primary practice location
9109 Liberty Rd
Patapsco Valley Center
Baltimore, MD 21133
Mailing address
101 East State St
Kenneth Square, PA 19348
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22458 | Other | MD | PT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2256 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436486400000",
"number": "1073997938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 EAST STATE ST",
"city": "KENNETH SQUARE",
"state": "PA",
"postal_code": "19348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9109 LIBERTY RD",
"address_2": "PATAPSCO VALLEY CENTER",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21133",
"telephone_number": "410-655-7373",
"fax_number": "410-655-0348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLUWAFEMI",
"first_name": "YANIQUE",
"middle_name": "KAYANA",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-10",
"last_updated": "2015-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "2256",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "22458",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.