Active NPI
Roseline Ifedayo Oyebanji
- Geriatric Physical Therapist
- Richmond Heights, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- PT021005
- Practice address
- 261 Richmond Rd
Richmond Heights, OH 44143-4422 - Phone
- (309) 569-0574
- NPI assigned
- Sep 11, 2023
- Last updated
- Dec 29, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, OH
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 050551 | NY | MD | Pharmacist |
| PT021005 | OH | MD | Geriatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy of the City PC | Physical Therapist | Current | Accepting new patients |
| Ohio Physical Therapy Services of Mayfield Heights, LLC | Physical Therapist | Current | Accepting new patients |
| Madison Physical Therapy | Physical Therapist | Past | 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.
-
dba Ohio Physical Therapy Services of Richmond Heights
- Physical Therapist
- Richmond Heights, OH
- NPI 1982361598
-
- Physical Therapy Clinic/Center
- Brooklyn, NY
- NPI 1265940399
Physical Therapist
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Beachwood, OH
- NPI 1295938272
-
- Physical Therapist
- Brooklyn, NY
- NPI 1275520918
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.