Individual provider Active NPI

Roseline Ifedayo Oyebanji

  • Geriatric Physical Therapist
  • Richmond Heights, OH
National Provider Identifier
1396522744
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
PT021005 Issued in OH
Practice address
261 Richmond Rd
Richmond Heights, OH 44143-4422
Phone
(309) 569-0574
NPI assigned
Sep 11, 2023
Last updated
Dec 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X PT021005 OH Primary

Addresses

Primary practice location

261 Richmond Rd
Richmond Heights, OH 44143-4422

Mailing address

2199 N Taylor Rd
Cleveland, OH 44112-3051
Phone (347) 534-2516

Other practice location 1

28500 Euclid Ave
Wickliffe, OH 44092-2500
Phone (309) 569-0574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230925003308 NY Practitioner - Physical Therapist in Private Practice 7113371121 Reassigns benefits to 1 organization
I20260129002409 OH Practitioner - Physical Therapist in Private Practice 7113371121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

901 Hugh Wallis Rd S
Lafayette, LA 70508-2511

PO Box
Lafayette, LA 70505

PO Box
Suite 51266
Lafayette, LA 70505-1266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
050551NYMDPharmacist
PT021005OHMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy of the City PC Physical Therapist CurrentSince Aug 13, 2023 Accepting new patients
Ohio Physical Therapy Services of Mayfield Heights, LLC Physical Therapist CurrentSince Dec 21, 2025 Accepting new patients
Madison Physical Therapy Physical Therapist PastSince May 23, 2019 Accepting new patients
Menorah Park Center for Senior Living Past Accepting new patients

Locations

798 Southern Blvd
Bronx, NY 10455
Phone (212) 540-5550

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1396522744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2199 N TAYLOR RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441123051",
            "telephone_number": "347-534-2516",
            "fax_number": "309-569-0574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 RICHMOND RD",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "441434422",
            "telephone_number": "309-569-0574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28500 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Wickliffe",
            "state": "OH",
            "postal_code": "440922500",
            "country_code": "US",
            "telephone_number": "309-569-0574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OYEBANJI",
        "first_name": "ROSELINE",
        "middle_name": "IFEDAYO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "OH",
            "license": "PT021005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.