Active NPI
Rolyn Cezar Umogbai, PT
- Physical Therapist
- Pensacola, FL
National Provider Identifier
1366917510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT25468
- Practice address
- 5101 Northpointe Pkwy Apt 210
Pensacola, FL 32514-7847 - Phone
- (941) 483-6795
- NPI assigned
- Oct 3, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | PT25468 | FL | Primary |
Addresses
Primary practice location
5101 Northpointe Pkwy Apt 210
Pensacola, FL 32514-7847
Mailing address
922 E Bobe St
Pensacola, FL 32503-3962
Phone (941) 483-6795
Other practice location 1
5111 N 12th Ave
Pensacola, FL 32504-8918
Phone (850) 434-8662
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673395200000",
"number": "1366917510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "922 E BOBE ST",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325033962",
"telephone_number": "941-483-6795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5101 NORTHPOINTE PKWY APT 210",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325147847",
"telephone_number": "941-483-6795"
}
],
"practiceLocations": [
{
"address_1": "5111 N 12th Ave",
"address_purpose": "LOCATION",
"city": "Pensacola",
"state": "FL",
"postal_code": "325048918",
"country_code": "US",
"telephone_number": "850-434-8662",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UMOGBAI",
"first_name": "ROLYN",
"middle_name": "CEZAR",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-03",
"last_updated": "2023-01-11",
"certification_date": "2023-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT25468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.