Active NPI
Abayomi Rasheed Kuforiji, DPT
- Physical Therapist
- Oak Park, MI
National Provider Identifier
1164562021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501005279
- Practice address
- 20770 Greenfield Rd
Oak Park, MI 48237-3018 - Phone
- (248) 968-2892
- Fax
- (248) 968-2848
- NPI assigned
- Feb 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 5501005279 | MI | Primary |
Addresses
Primary practice location
20770 Greenfield Rd
Oak Park, MI 48237-3018
Mailing address
16915 Livernois Ave
Detroit, MI 48221-3058
Phone (248) 701-3426
Other practice location 1
16915 Livernois Ave
Detroit, MI 48221-3058
Phone (248) 701-8426
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050110000864 | MI | Practitioner - Physical Therapist in Private Practice | 5092773440 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501005279 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762300800000",
"number": "1164562021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16915 LIVERNOIS AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482213058",
"telephone_number": "248-701-3426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20770 GREENFIELD RD",
"city": "OAK PARK",
"state": "MI",
"postal_code": "482373018",
"telephone_number": "248-968-2892",
"fax_number": "248-968-2848"
}
],
"practiceLocations": [
{
"address_1": "16915 Livernois Ave",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482213058",
"country_code": "US",
"telephone_number": "248-701-8426",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUFORIJI",
"first_name": "ABAYOMI",
"middle_name": "RASHEED",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501005279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.