Individual provider Active NPI

Olufisayo Olukemi Aloba, DPT

  • Physical Therapist
  • Atlanta, GA
National Provider Identifier
1174260780
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015112 Issued in GA
Practice address
201 Dowman Dr NE
Atlanta, GA 30322-1007
Phone
(404) 727-6123
NPI assigned
May 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 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 PT015112 GA Primary

Addresses

Primary practice location

201 Dowman Dr NE
Atlanta, GA 30322-1007

Mailing address

7388 Stone Bluff Dr
Douglasville, GA 30134-3776

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT015112GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Health Care Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1174260780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7388 STONE BLUFF DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301343776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 DOWMAN DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303221007",
            "telephone_number": "404-727-6123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALOBA",
        "first_name": "OLUFISAYO",
        "middle_name": "OLUKEMI",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT015112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.