Joseph Jegede, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

30154 Issued in MD

Practice address

2513 University Blvd W # 2515
Wheaton, MD 20902-1910

Phone

(301) 593-7300

NPI assigned

Jan 20, 2025

Sex

Male

Sole proprietor

Yes

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

Enrolled in DC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Active Physical Therapy Services, LLC

  • Physical Therapist
  • Laurel, MD
  • NPI 1225217334

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1396556122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 WILLOW HILL CT",
            "city": "LANDOVER",
            "state": "MD",
            "postal_code": "207854652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2513 UNIVERSITY BLVD W # 2515",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209021910",
            "telephone_number": "301-593-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEGEDE",
        "first_name": "JOSEPH",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "30154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Ichniowski, P.T.
• Integrative Chiropractic & Rehab
• Kari Irwin
• Rotem Itzhaki, SPT
• Eric M Jeffries, MD
• Frank Johnson, MD
• Earlene Jordan, M.D.
• Ka Wheaton Inc
• Michael A Kaliner, M.D.
• William Keefe, MD

• Physical Therapist in Wheaton, MD
• Providers in Wheaton, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.