Active NPI
Iyabo Omowunmi Oyeniya, P.T
- Day Training/Habilitation Specialist
- Americus, GA
National Provider Identifier
1578684098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Day Training/Habilitation Specialist
- License
- PT007709
- Practice address
- 219 Murphy Mill Rd Apt B
Americus, GA 31709-4538 - Phone
- (229) 924-7150
- Fax
- (229) 924-7150
- NPI assigned
- Apr 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Day Training/Habilitation Specialist | 373H00000X | PT007709 | GA | Primary |
Addresses
Primary practice location
219 Murphy Mill Rd Apt B
Americus, GA 31709-4538
Mailing address
219 Murphy Mill Rd Apt B
Americus, GA 31709-4538
Phone (229) 924-7150
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 |
|---|---|---|---|
| PT007709 | GA | MD | Day Training/Habilitation Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1578684098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 MURPHY MILL RD APT B",
"city": "AMERICUS",
"state": "GA",
"postal_code": "317094538",
"telephone_number": "229-924-7150",
"fax_number": "229-924-7150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 MURPHY MILL RD APT B",
"city": "AMERICUS",
"state": "GA",
"postal_code": "317094538",
"telephone_number": "229-924-7150",
"fax_number": "229-924-7150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OYENIYA",
"first_name": "IYABO",
"middle_name": "OMOWUNMI",
"credential": "P.T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": "GA",
"license": "PT007709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Americus, GA
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.