Individual provider Active NPI

Luqman Omotayo Nofiu

  • Occupational Therapist
  • Washington, DC
National Provider Identifier
1366241374
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
5000 Nannie Helen Burroughs Ave NE
Washington, DC 20019-5506
Phone
(202) 399-7504
NPI assigned
Mar 11, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

5000 Nannie Helen Burroughs Ave NE
Washington, DC 20019-5506

Mailing address

4305 Maple Rd
Morningside, MD 20746-3518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260113002788 DC Practitioner - Occupational Therapist in Private Practice 9638655277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

4305 Maple Rd
Morningside, MD 20746-3518

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabcare Group East LLC CurrentSince Dec 6, 2025 Accepting new patients
Rehabcare Group East, LLC CurrentSince Dec 6, 2025 Accepting new patients

Locations

1330 Massachusetts Ave NW
Washington, DC 20005
Phone (202) 223-0500

Organizations & group practices 2

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": "1741651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1366241374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 MAPLE RD",
            "city": "MORNINGSIDE",
            "state": "MD",
            "postal_code": "207463518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 NANNIE HELEN BURROUGHS AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200195506",
            "telephone_number": "202-399-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOFIU",
        "first_name": "LUQMAN",
        "middle_name": "OMOTAYO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-11",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.