Imbundu Wekulo Charles Namasaka, BS, CIFT, CPT

Primary specialty

Respiratory/Developmental/Rehabilitative Specialist/TechnologistTaxonomy code 225500000X

License

748773 Issued in MD

Practice address

3006 John Bernard Dr
Ellicott City, MD 21042-2017

Phone

(415) 225-1260

NPI assigned

Jul 25, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753488000000",
    "number": "1376425611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8603 TABB CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207204444",
            "telephone_number": "202-390-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 JOHN BERNARD DR",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422017",
            "telephone_number": "415-225-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMASAKA",
        "first_name": "IMBUNDU",
        "middle_name": "WEKULO CHARLES",
        "credential": "BS, CIFT, CPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-25",
        "last_updated": "2025-07-26",
        "certification_date": "2025-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist",
            "state": "WV",
            "license": "7132154",
            "primary": false
        },
        {
            "code": "225500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist",
            "state": "MD",
            "license": "748773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Respiratory/Developmental/Rehabilitative Specialist/Technologist in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Respiratory/Developmental/Rehabilitative Specialist/Technologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.