Roselyn Atoyebi, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1346124 Issued in TX

Practice address

2840 Commercial Center Blvd Ste 103
Katy, TX 77494-6412

Phone

(281) 693-1063

Fax

(281) 693-1081

NPI assigned

Jun 11, 2021

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1417525098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 COMMERCIAL CENTER BLVD STE 103",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946412",
            "telephone_number": "281-693-1063",
            "fax_number": "281-693-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 COMMERCIAL CENTER BLVD STE 103",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946412",
            "telephone_number": "281-693-1063",
            "fax_number": "281-693-1081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4009 Bellaire Blvd Ste M",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770251168",
            "country_code": "US",
            "telephone_number": "713-839-7800",
            "fax_number": "713-839-7931",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17326 Highway 3",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984133",
            "country_code": "US",
            "telephone_number": "281-332-3000",
            "fax_number": "281-332-9171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATOYEBI",
        "first_name": "ROSELYN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1346124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Katy, TX
• Providers in Katy, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.

Verify at the official NPI Registry.