Active NPI
Oladipupo Ayodele Dada
- Physical Therapist
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP031717T
- Practice address
- 1100 Circle 75 Pkwy SE Ste 1400
Atlanta, GA 30339-3067 - Phone
- (850) 622-0842
- NPI assigned
- Jun 9, 2023
- Last updated
- Oct 25, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapist | 225100000X | PT016859 | GA | |
| Physical Therapist | 225100000X | CP031717T | TX | Primary |
Addresses
Primary practice location
1100 Circle 75 Pkwy SE Ste 1400
Atlanta, GA 30339-3067
Mailing address
30 Meadow Valley CT
Midland, GA 31820-4393
Phone (719) 310-8283
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, TX
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1683 State Hwy 46 W
Suite 215
New Braunfels, TX 78132-4793
Phone (830) 302-2960
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP031717T | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Physical Therapy Texas Limited Partnership | Current | Accepting new patients | |
| Theraworks Inc | Physical Therapist | Current | Accepting new patients |
| Georgia Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Emory Physical Therapy, LLC | Current | Accepting new patients | |
| Baylor College of Medicine | Current | Accepting new patients | |
| Physiotherapy Associates Inc | Current | Accepting new patients | |
| Emory Physical Therapy, LLC | Current | Accepting new patients | |
| Select Physical Therapy Texas Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Texas Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Theraworks Inc | Physical Therapist | Current | Accepting new patients |
| Baylor College of Medicine | Current | Accepting new patients | |
| Emory Physical Therapy, LLC | Current | Accepting new patients | |
| Physiotherapy Associates Inc | Physical Therapist | Current | Accepting new patients |
| Select Physical Therapy Texas Limited Partnership | Physical Therapist | Past | Accepting new patients |
Locations
21 Ortho Ln
Atlanta, GA 30329
Phone (404) 778-2516
260 Peachtree St NW
Ste 2200
Atlanta, GA 30303
Phone (669) 231-6870
1845 Satellite Blvd
Ste 750
Duluth, GA 30097
Phone (404) 778-6490
14700 FM 2100 Rd
Ste 4
Crosby, TX 77532
Phone (281) 328-8346
7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924
7200 Cambridge St
Fl 6
Houston, TX 77030
Phone (713) 798-2545
5514 Atascocita Rd
Humble, TX 77346
Phone (281) 441-5371
605 Rockmead Dr
Ste 200
Kingwood, TX 77339
Phone (281) 348-9588
1683 State Highway 46 W
Ste 215
New Braunfels, TX 78132
Phone (830) 302-2960
180 State St
Ste 225
Southlake, TX 76092
Phone (682) 429-7066
711 W Bay Area Blvd
Ste 608
Webster, TX 77598
Phone (281) 338-1273
Organizations & group practices 14
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.
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Tomball, TX
- NPI 1770254179
Physical Therapist
-
- Physical Therapy Clinic/Center
- Atlanta, GA
- NPI 1922018423
-
- Physical Therapist
- Atlanta, GA
- NPI 1245826999
-
- Physical Therapy Clinic/Center
- Crosby, TX
- NPI 1962553636
Physical Therapist
-
- Physical Therapist
- Southlake, TX
- NPI 1790309656
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Pearland, TX
- NPI 1861531451
Physical Therapist
-
- Physical Therapy Clinic/Center
- Lithonia, GA
- NPI 1346119831
-
- Physical Therapy Clinic/Center
- Brookhaven, GA
- NPI 1720097561
-
- Orthopaedic Surgery Physician
- Sugar Land, TX
- NPI 1700683844
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Estero, FL
- NPI 1720039902
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Houston, TX
- NPI 1033168166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729814400000",
"number": "1376227413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 MEADOW VALLEY CT",
"city": "MIDLAND",
"state": "GA",
"postal_code": "318204393",
"telephone_number": "719-310-8283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 CIRCLE 75 PKWY SE STE 1400",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303393067",
"telephone_number": "850-622-0842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DADA",
"first_name": "OLADIPUPO",
"middle_name": "AYODELE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-09",
"last_updated": "2024-10-25",
"certification_date": "2024-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT016859",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "CP031717T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.