Individual provider Active NPI

Olufemi Odumesi, PT,GNA,CNA

  • Physical Therapist
  • Baltimore, MD
National Provider Identifier
1578088936
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
26622 Issued in MD
Practice address
5636 Midwood Ave Apt 1
Baltimore, MD 21212-4029
Phone
(443) 469-3426
NPI assigned
Aug 7, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 26622 MD Primary

Addresses

Primary practice location

5636 Midwood Ave Apt 1
Baltimore, MD 21212-4029

Mailing address

5636 Midwood Ave Apt 1
Baltimore, MD 21212-4029
Phone (443) 469-3426

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170927002002 MD Practitioner - Physical Therapist in Private Practice 3072887264 Reassigns benefits to 2 organizations
I20260508001093 NJ Practitioner - Physical Therapist in Private Practice 3072887264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swift Rehabilitation 8 clinicians

Practice addresses (Care Compare)

8 Quails Nest CT
Baltimore, MD 21236-5604

8338 Philadelphia Rd
Rosedale, MD 21237-2928
Phone (443) 469-3426

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Swift Rehabilitation CurrentSince Jan 7, 2020 Accepting new patients
Calm-Haven Therapy, Inc Current Accepting new patients
Swift Rehabilitation Physical Therapist Current Accepting new patients
Swift Rehabilitation Inc CurrentSince Jan 7, 2020 Accepting new patients
Swift Rehabilitation Inc Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1578088936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5636 MIDWOOD AVE APT 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212124029",
            "telephone_number": "443-469-3426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5636 MIDWOOD AVE APT 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212124029",
            "telephone_number": "443-469-3426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODUMESI",
        "first_name": "OLUFEMI",
        "credential": "PT,GNA,CNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-07",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "26622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; 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.