Lawretta Obodo

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A3763 Issued in MD

Practice address

7520 Surratts Rd
Clinton, MD 20735-3353

Phone

(301) 856-1660

Fax

(301) 785-2076

NPI assigned

Jun 16, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434412800000",
    "number": "1376924282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 NEW ORCHARD PL",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207742288",
            "telephone_number": "240-472-8434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7520 SURRATTS RD",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207353353",
            "telephone_number": "301-856-1660",
            "fax_number": "301-785-2076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBODO",
        "first_name": "LAWRETTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A3763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nurses Staffing Nurses LLC
• Adaku U. Nwachuku, D.O.
• Ihuoma C. Nwajei, O.D.
• Okechukwu A Nwodim, D.O
• Frankline Ngozi Obi I
• Obstacles Under Recovery, LLC
• Gwendolyn Renee Ocasio, CRNA
• Joanne Ocasio, LCSW
• Nonyem Oguejiofor, PHARM.D
• Adeola Oke

• Physical Therapy Assistant in Clinton, MD
• Providers in Clinton, MD by specialty
• Physical Therapy Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.