Active NPI
Oluwaseun D Ajifowobaje
- Physical Therapist
- Astoria, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 041656
- Practice address
- 3244 31St St
Astoria, NY 11106-2561 - Phone
- (718) 707-6970
- Fax
- (718) 707-6977
- NPI assigned
- Aug 9, 2017
- Last updated
- Apr 23, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Radiology Physician | 2085N0904X | 26845 | MD | |
| Diagnostic Radiology Physician | 2085R0202X | 26845 | MD | |
| Physical Therapist | 225100000X | 041656 | NY | Primary |
Addresses
Primary practice location
3244 31St St
Astoria, NY 11106-2561
Mailing address
3244 31St St
Astoria, NY 11106-2561
Phone (718) 707-6970
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3901 National Dr
Suite 100
Burtonsville, MD 20866-1176
Phone (301) 421-1125
515 Fairmount Ave
Suite 340
Towson, MD 21286-8522
Phone (443) 218-3379
7130 Minstrel Way
Ll110
Columbia, MD 21045-5261
Phone (240) 841-2639
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26845 | MD | MD | Nuclear Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrate Diagnostics | Physical Therapist | Current | Accepting new patients |
| Forever Fit Physical Therapy & Wellness LLC | Physical Therapist | Current | Accepting new patients |
| Forever Fit Physical Therapy & Wellness, LLC | Current | Accepting new patients | |
| Lifebridge Sports Medicine and Rehabilitation LLC | Current | Accepting new patients | |
| Lifebridge Sports Medicine & Rehabilitation, LLC | Current | Accepting new patients | |
| Lifebridge Sports Medicine and Rehabilitation LLC | Current | Accepting new patients | |
| Medstar Health Physical Therapy at Home, LLC. | Physical Therapist | Current | Accepting new patients |
| Shawn Dhillon, M.D., P.C. | Current | Accepting new patients | |
| Medstar Health Physical Therapy at Home, LLC. | Physical Therapist | Current | Accepting new patients |
| Shawn Dhillon, M.D., P.C. | Current | Accepting new patients |
Locations
2 Hamill Rd
Ste 272
Baltimore, MD 21210
Phone (410) 261-8532
4000 Mitchellville Rd
Ste B222
Bowie, MD 20716
Phone (301) 421-1125
3901 National Dr
Ste 100
Burtonsville, MD 20866
Phone (301) 232-3684
10980 Grantchester Way
Columbia, MD 21044
Phone (410) 772-6500
7130 Minstrel Way
Ste LL110
Columbia, MD 21045
Phone (240) 841-2639
818 W Diamond Ave
Ste 110
Gaithersburg, MD 20878
Phone (301) 232-3684
10301 Georgia Ave
Ste 200
Silver Spring, MD 20902
Phone (301) 593-7300
515 Fairmount Ave
Ste 340
Towson, MD 21286
Phone (410) 296-5300
8600 La Salle Rd
Ste 322
Towson, MD 21286
Phone (410) 828-6778
Organizations & group practices 12
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.
-
- Physical Therapy Clinic/Center
- Burtonsville, MD
- NPI 1538489802
DC
-
- Clinical Electrophysiology Physical Therapist
- Towson, MD
- NPI 1225825086
-
- Rehabilitation Clinic/Center
- Eldersburg, MD
- NPI 1578055497
-
- Rehabilitation Clinic/Center
- Columbia, MD
- NPI 1891472684
Physical Therapist
-
dba Calvert Medical Group
- Internal Medicine Physician
- Baltimore, MD
- NPI 1932186764
-
- Neurology Physician
- Towson, MD
- NPI 1013259084
-
- Physical Therapy Clinic/Center
- Bowie, MD
- NPI 1497154223
DC
-
- Physical Therapy Clinic/Center
- Silver Spring, MD
- NPI 1326510280
Physical Therapist
-
dba Lifebridge Health Physical Therapy
- Rehabilitation Clinic/Center
- Towson, MD
- NPI 1699006106
-
dba Novacare Rehabilitation
- Physical Therapy Clinic/Center
- Baltimore, MD
- NPI 1750966602
-
- Physical Therapist
- Washington, DC
- NPI 1811683923
-
dba North Charles Sleep Center
- Pulmonary Diagnostics Registered Respiratory Therapist
- Baltimore, MD
- NPI 1881973709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745366400000",
"number": "1619492865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3244 31ST ST",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111062561",
"telephone_number": "718-707-6970",
"fax_number": "718-707-6977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3244 31ST ST",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111062561",
"telephone_number": "718-707-6970",
"fax_number": "718-707-6977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AJIFOWOBAJE",
"first_name": "OLUWASEUN",
"middle_name": "D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-09",
"last_updated": "2025-04-23",
"certification_date": "2025-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "MD",
"license": "26845",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MD",
"license": "26845",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "041656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.