Active NPI
Tosin Fagbemi, PT, DPT
- Physical Therapist
- Clinton, MD
National Provider Identifier
1356740278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 25144
- Practice address
- 8926 Woodyard Rd
Suite 501
Clinton, MD 20735-4220 - Phone
- (301) 719-1140
- NPI assigned
- Aug 15, 2014
- Last updated
- Aug 15, 2014
- Sex
- Male
- Sole proprietor
- No
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 | 25144 | MD | Primary |
Addresses
Primary practice location
8926 Woodyard Rd
Suite 501
Clinton, MD 20735-4220
Mailing address
4713 Cashill CT
Upper Marlboro, MD 20772-6115
Phone (301) 351-3924
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25144 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408060800000",
"number": "1356740278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4713 CASHILL CT",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207726115",
"telephone_number": "301-351-3924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8926 WOODYARD RD",
"address_2": "SUITE 501",
"city": "CLINTON",
"state": "MD",
"postal_code": "207354220",
"telephone_number": "301-719-1140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAGBEMI",
"first_name": "TOSIN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-15",
"last_updated": "2014-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "25144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.