Eniola Udoyen, PT, DPT, MPH

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

010088 Issued in CT

Practice address

58 Augusta Dr
Milford, CT 06461-1683

Phone

(803) 834-2134

NPI assigned

Jan 16, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Avidcare Therapy LLC

  • Home Health Agency
  • Milford, CT
  • NPI 1740698869
  Medicare reassignment Authorized official
• Prohealth Care Associates, LLP

  • Physical Therapist
  • Carmel, NY
  • NPI 1508324898
  NPD (past)
• Protherapy Rehabilitation OT, PT, SLP, PLLC

  • Rehabilitation Clinic/Center
  • Bronx, NY
  • NPI 1396022752

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406851200000",
    "number": "1396921672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 AUGUSTA DRIVE",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "06461",
            "telephone_number": "803-834-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 AUGUSTA DR",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064611683",
            "telephone_number": "803-834-2134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDOYEN",
        "first_name": "ENIOLA",
        "credential": "PT, DPT, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-16",
        "last_updated": "2014-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070014511",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "010088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Treat
• Trinitynp
• Alexander Tumeniuk, D.M.D.
• Natalie Tumeniuk, D.M.D
• Raquel Turner, PTA
• Ubong Jackson Udoyen, M.D.
• Chioma Umelo
• Uplift Counseling and Wellness, LLC
• Usv Optical Inc.
• Karen Christine Vaillancourt, PHARM D.

• Physical Therapist in Milford, CT
• Providers in Milford, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; 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.