Individual provider Active NPI

Toyin Atoro-Odueyungbo, PT

  • Physical Therapist
  • Northwood, NH
National Provider Identifier
1144218736
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1935 Issued in NH
Practice address
488 First NH Tpke
Northwood, NH 03261-3410
Phone
(603) 942-9933
Fax
(603) 224-5601
NPI assigned
Oct 9, 2005
Last updated
Jan 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1935 NH Primary

Addresses

Primary practice location

488 First NH Tpke
Northwood, NH 03261-3410

Mailing address

PO Box 4136
Concord, NH 03302-4136
Phone (603) 942-9933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120131000569 NH Practitioner - Physical Therapist in Private Practice 2961440995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

488 1St NH Tpke
Northwood, NH 03261-3410
Phone (603) 942-9933

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1935NHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tayese LLC Physical Therapist CurrentSince Sep 28, 1998 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1128816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1144218736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4136",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033024136",
            "telephone_number": "603-942-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 FIRST NH TPKE",
            "city": "NORTHWOOD",
            "state": "NH",
            "postal_code": "032613410",
            "telephone_number": "603-942-9933",
            "fax_number": "603-224-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATORO-ODUEYUNGBO",
        "first_name": "TOYIN",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-09",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "1935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northwood, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.