Individual provider Active NPI

Oyakhilomen Omoike, D. SCI., MS.PT

  • Sports Physical Therapist
  • Mitchellville, MD
National Provider Identifier
1376822163
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
19933 Issued in MD
Practice address
9616 Oxbridge Way
Mitchellville, MD 20721-3115
Phone
(202) 492-4233
NPI assigned
Aug 10, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Orthopedic Physical Therapist 2251X0800X 870066 DC
Orthopedic Physical Therapist 2251X0800X
Sports Physical Therapist 2251S0007X 19933 MD Primary

Addresses

Primary practice location

9616 Oxbridge Way
Mitchellville, MD 20721-3115

Mailing address

9616 Oxbridge Way
Mitchellville, MD 20721-3115
Phone (202) 492-4233

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
19933MDMDClinical Social Worker
870066DCMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
O.a.O Therapy and Consulting, LLC Physical Therapist Past Accepting new patients

Organizations & group practices 1

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": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1376822163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9616 OXBRIDGE WAY",
            "city": "MITCHELLVILLE",
            "state": "MD",
            "postal_code": "207213115",
            "telephone_number": "202-492-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9616 OXBRIDGE WAY",
            "city": "MITCHELLVILLE",
            "state": "MD",
            "postal_code": "207213115",
            "telephone_number": "202-492-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMOIKE",
        "first_name": "OYAKHILOMEN",
        "name_prefix": "Dr.",
        "credential": "D. SCI., MS.PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-10",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "DC",
            "license": "870066",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "MD",
            "license": "19933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mitchellville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.