Organization Active NPI

Triumph Therapeutics LLC

  • Developmental Disabilities Clinic/Center
  • Washington, DC
National Provider Identifier
1255794194
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
TRIUMPH THERAPEUTICS LLC
Practice address
4900 Massachusetts Ave NW Ste 340
Washington, DC 20016-4358
Phone
(202) 794-6820
NPI assigned
Mar 29, 2016
Reactivated
Jul 26, 2019
Last updated
Dec 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Authorized official

Name
Mr. Omololu Oluwatosin Majekodunmi, OTR/LNPI 1629480710
Title
Chief Executive Officer
Phone
(240) 339-4976

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X NU Primary
Physical Medicine & Rehabilitation Physician 208100000X NU

Addresses

Primary practice location

4900 Massachusetts Ave NW Ste 340
Washington, DC 20016-4358

Mailing address

1710 W Virginia Ave NE Unit 101
Washington, DC 20002-2338
Phone (202) 739-1861

Other practice location 1

1710 W Virginia Ave NE Unit 101
Washington, DC 20002-2338
Phone (202) 739-1861

Other practice location 2

1331 H St NW Ste 200
Washington, DC 20005-4706
Phone (202) 794-6820

Other practice location 3

8320 Old Courthouse Rd Ste 401
Vienna, VA 22182-3848
Phone (202) 794-6820

National Provider Directory

National Provider Directory

Locations

4900 Massachusetts Ave NW
Ste 305
Washington, DC 20016
Phone (202) 739-1861

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1255794194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 W VIRGINIA AVE NE UNIT 101",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200022338",
            "telephone_number": "202-739-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 MASSACHUSETTS AVE NW STE 340",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164358",
            "telephone_number": "202-794-6820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1710 W Virginia Ave NE Unit 101",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200022338",
            "country_code": "US",
            "telephone_number": "202-739-1861",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1331 H St NW Ste 200",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200054706",
            "country_code": "US",
            "telephone_number": "202-794-6820",
            "fax_number": "202-396-2437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8320 Old Courthouse Rd Ste 401",
            "address_purpose": "LOCATION",
            "city": "Vienna",
            "state": "VA",
            "postal_code": "221823848",
            "country_code": "US",
            "telephone_number": "202-794-6820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRIUMPH THERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-29",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "deactivation_date": "2019-07-23",
        "reactivation_date": "2019-07-26",
        "status": "A",
        "authorized_official_last_name": "MAJEKODUNMI",
        "authorized_official_first_name": "OMOLOLU",
        "authorized_official_middle_name": "OLUWATOSIN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "240-339-4976",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.