Temitope O Fadumiye, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

29732 Issued in MD

Practice address

6151 Daylong LN
Clarksville, MD 21029-1639

Phone

(410) 531-2525

NPI assigned

Sep 9, 2020

Last updated

Dec 6, 2023By the provider in NPPES

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

Enrolled in DC, MD2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Maryland Medical Group LLCGroup PAC ID 5395893655, 21 clinicians

Glen Burnie Physical Therapy and Sportscare LLCGroup PAC ID 0042102592, 25 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.43 of 100Reported as group

Quality

85

Promoting interoperability

99

Improvement activities

40

Cost

73.92

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Glen Burnie Physical Therapy & Sportscare, LLC

  dba Pivot Physical Therapy of Greater Baltimore

  • Physical Therapist
  • Columbia, MD
  • NPI 1679630073
  Medicare reassignment Care Compare group NPD
• Southern Maryland Medical Group LLC

  • Internal Medicine Physician
  • Camp Springs, MD
  • NPI 1942448113

  DC

  Medicare reassignment Care Compare group
• Maryland Sportscare & Rehab LLC

  dba Pivot Physical Therapy of Maryland

  • Physical Therapist
  • Westminster, MD
  • NPI 1518951995

  DC

  Medicare reassignment NPD
• Glen Burnie Physical Therapy & Sportscare, LLC

  dba Pivot Physical Therapy of Greater Baltimore

  • Physical Therapist
  • Columbia, MD
  • NPI 1417319211
  NPD
• Maryland Sportscare & Rehab, LLC

  dba Pivot Physical Therapy of Maryland

  • Physical Therapist
  • Westminster, MD
  • NPI 1720445174
  NPD

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1477168243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6151 DAYLONG LN",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291639",
            "telephone_number": "410-531-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FADUMIYE",
        "first_name": "TEMITOPE",
        "middle_name": "O",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-09",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "29732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Delapaz, PT, DPT
• An Dinh, RPH
• Alex CHI DO
• DRS Collins & Twigg PC (Maryland Spine and Sports Medicine)
• Terry Winston English, CRNA
• Ronald Howard Farkas, M.D.
• Kimberly Ann Felder
• Kathleen Ferrara Lombardo, MA LCPC
• First Call Medical Center LLC
• Foot and Ankle Specialists of the Mid-Atlantic, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.