NPIMap

Individual provider Active NPI

Shakirat Olabisi Aroworowon, COTA

  • Occupational Therapy Assistant
  • Edgewood, MD
National Provider Identifier
1205467768
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
A02138 Issued in MD
Practice address
1319 Woodbridge Station Way Ste 102
Edgewood, MD 21040-3852
Phone
(443) 857-7985
NPI assigned
Feb 3, 2020
Last updated
Feb 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X A02138 MD Primary

Addresses

Primary practice location

1319 Woodbridge Station Way Ste 102
Edgewood, MD 21040-3852

Mailing address

5310 Old Court Rd
Randallstown, MD 21133-5243
Phone (443) 857-7475

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

LicenseStateTypeSpecialty
A02138MDMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sovereignty Health Services LLC Single Specialty Current Accepting new patients
Sovereignty Health Services LLC Current Accepting new patients
Primelight Cradle Care Servises Current Accepting new patients

Locations

1319 Woodbridge Station Way
Ste 102
Edgewood, MD 21040
Phone (301) 744-9673

5310 Old Court Rd
Randallstown, MD 21133
Phone (410) 496-2410

Organizations & group practices 8

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": "1580688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1205467768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 OLD COURT RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211335243",
            "telephone_number": "443-857-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 WOODBRIDGE STATION WAY STE 102",
            "city": "EDGEWOOD",
            "state": "MD",
            "postal_code": "210403852",
            "telephone_number": "443-857-7985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AROWOROWON",
        "first_name": "SHAKIRAT",
        "middle_name": "OLABISI",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-03",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MD",
            "license": "A02138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.