Individual provider Active NPI

Zainab Oketade, PT,DPT

  • Orthopedic Physical Therapist
  • Loganville, GA
National Provider Identifier
1376364810
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT017455 Issued in GA
Practice address
150 Athens Hwy Ste 600
Loganville, GA 30052-4968
Phone
(770) 554-2308
NPI assigned
Oct 17, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT017455 GA Primary

Addresses

Primary practice location

150 Athens Hwy Ste 600
Loganville, GA 30052-4968

Mailing address

2130 Beckenham PL
Dacula, GA 30019-6816
Phone (678) 677-1479

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250117003359 GA Practitioner - Physical Therapist in Private Practice 2466981501 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT017455GAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy Associates Inc CurrentSince Dec 1, 2024 Accepting new patients
Physiotherapy Associates Inc CurrentSince Dec 1, 2024 Accepting new patients

Locations

966A Killian Hill Rd SW
Lilburn, GA 30047
Phone (770) 923-4815

150 Athens Hwy
Ste 600
Loganville, GA 30052
Phone (770) 554-2307

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": "1729123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1376364810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 BECKENHAM PL",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300196816",
            "telephone_number": "678-677-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 ATHENS HWY STE 600",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300524968",
            "telephone_number": "770-554-2308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKETADE",
        "first_name": "ZAINAB",
        "credential": "PT,DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "PT017455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loganville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.