Oladipo Eddo, PH.D

Primary specialty

Clinical Exercise PhysiologistTaxonomy code 224Y00000X

License

1065417 Issued in VA

Practice address

7506 Admiral Nelson Dr
Warrenton, VA 20186-9704

Phone

(703) 986-7628

NPI assigned

Jul 11, 2024

Last updated

Jul 11, 2024By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1427895051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7506 ADMIRAL NELSON DR",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201869704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7506 ADMIRAL NELSON DR",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201869704",
            "telephone_number": "703-986-7628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDDO",
        "first_name": "OLADIPO",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": "VA",
            "license": "1065417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Dulevitz, MS OTR/L
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• Sung Sun Dye
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• Bruce Daniel Edwards III, P.T.
• Melissa Anne Edwards, PTA
• Ashton McKenzie Eicher
• Jaclyn Elo

• Clinical Exercise Physiologist in Warrenton, VA
• Providers in Warrenton, VA by specialty
• Clinical Exercise Physiologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.