Active NPI
Adekunle Michael Majekodunmi, PT, DPT
- Physical Therapist
- Alexandria, VA
National Provider Identifier
1386280162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305212976
- Practice address
- 5100 Fillmore Ave
Alexandria, VA 22311-5069 - Phone
- (856) 381-2091
- NPI assigned
- Nov 27, 2019
- Last updated
- Mar 5, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT014513 | GA | |
| Physical Therapist | 225100000X | 2305212976 | VA | Primary |
Addresses
Primary practice location
5100 Fillmore Ave
Alexandria, VA 22311-5069
Mailing address
1441 U St NW Apt 602
Washington, DC 20009-3528
Phone (856) 381-2091
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT014513 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayada Home Health Care, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Alexandria, VA
- NPI 1578158069
-
- Home Health Agency
- Gaithersburg, MD
- NPI 1902149891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614902400000",
"number": "1386280162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1441 U ST NW APT 602",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200093528",
"telephone_number": "856-381-2091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 FILLMORE AVE",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223115069",
"telephone_number": "856-381-2091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAJEKODUNMI",
"first_name": "ADEKUNLE",
"middle_name": "MICHAEL",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-27",
"last_updated": "2021-03-05",
"certification_date": "2021-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT014513",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305212976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.