Active NPI
Adebo Abdur-Ratshid Adebohun, RPT
- Geriatric Physical Therapist
- Washington, DC
National Provider Identifier
1497976815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- PT2423
- Practice address
- 4000 Albemarle St NW
Suite 210
Washington, DC 20016-1851 - Phone
- (202) 363-0130
- Fax
- (202) 363-0376
- NPI assigned
- May 1, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | PT2423 | DC | Primary |
Addresses
Primary practice location
4000 Albemarle St NW
Suite 210
Washington, DC 20016-1851
Mailing address
3617 Shenandoah Dr
Beltsville, MD 20705-3549
Phone (301) 595-8260
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT2423 | DC | MD | Geriatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497976815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3617 SHENANDOAH DR",
"city": "BELTSVILLE",
"state": "MD",
"postal_code": "207053549",
"telephone_number": "301-595-8260",
"fax_number": "301-595-8260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 ALBEMARLE ST NW",
"address_2": "SUITE 210",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200161851",
"telephone_number": "202-363-0130",
"fax_number": "202-363-0376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADEBOHUN",
"first_name": "ADEBO",
"middle_name": "ABDUR-RATSHID",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "DC",
"license": "PT2423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.