Rotimi Oyewole, P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT008871 Issued in GA

Practice address

909 Harvest Brook Dr
Lawrenceville, GA 30043-7543

Phone

(770) 682-9840

NPI assigned

Aug 27, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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 and National Provider Directory roles.

• Georgia Luna Care Physical Therapy LLC

  • Physical Therapist
  • Atlanta, GA
  • NPI 1245826999
  Medicare reassignment NPD
• Emory Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Brookhaven, GA
  • NPI 1720097561
  NPD (past)

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251331200000",
    "number": "1194958819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 HARVEST BROOK DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300437543",
            "telephone_number": "770-682-9840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 HARVEST BROOK DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300437543",
            "telephone_number": "770-682-9840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYEWOLE",
        "first_name": "ROTIMI",
        "credential": "P.T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-27",
        "last_updated": "2009-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT008871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawanda Owens, APC
• Marcelle M. Owens, M.D.
• Sarah Anne Owens, CNM
• Anne Gyamfi Owusu, CRNA
• Oluwakemi Abiodun Oyedeji, PHARMACIST
• Nishith Oza, PT
• P E T Imaging of Gwinnett LLC (Trident PET of Gwinnett)
• Lesley Pacateque
• Hannah Shalini Packiam, MD
• Erica M Padilla

• Physical Therapist in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; 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.