NPIMap

Organization Active NPI

Favous Therapy Inc

  • Physical Therapist
  • Bowie, MD
National Provider Identifier
1376721571
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
18415 Issued in MD
Legal business name
FAVOUS THERAPY INC
Practice address
2909 Eagles Nest Dr
Bowie, MD 20716-3905
Phone
(202) 498-0484
Fax
(301) 805-0634
NPI assigned
Feb 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Authorized official

Name
Olumide Olayode Ogunjuyigbe, PTNPI 1821293036
Title
President
Phone
(202) 498-0484

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 18415 MD Primary

Addresses

Primary practice location

2909 Eagles Nest Dr
Bowie, MD 20716-3905

Mailing address

2909 Eagles Nest Dr
Bowie, MD 20716-3905
Phone (202) 498-0484

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1376721571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 EAGLES NEST DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163905",
            "telephone_number": "202-498-0484",
            "fax_number": "301-805-0634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 EAGLES NEST DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163905",
            "telephone_number": "202-498-0484",
            "fax_number": "301-805-0634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAVOUS THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "OGUNJUYIGBE",
        "authorized_official_first_name": "OLUMIDE",
        "authorized_official_middle_name": "OLAYODE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-498-0484",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "18415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.