Active NPI
Omololu Majekodunmi, OTR/L
- Occupational Therapist
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 07155
- Practice address
- 4900 Massachusetts Ave NW Ste 340
Washington, DC 20016-4358 - Phone
- (202) 794-6820
- NPI assigned
- May 23, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Occupational Therapist | 225X00000X | 07155 | MD | Primary |
| Speech-Language Pathologist | 235Z00000X | |||
| Nutrition Education Nutritionist | 133NN1002X | |||
| Health Educator | 174H00000X | |||
| Clinical Exercise Physiologist | 224Y00000X | |||
| Occupational Therapist | 225X00000X | 010000891 | DC |
Addresses
Primary practice location
4900 Massachusetts Ave NW Ste 340
Washington, DC 20016-4358
Mailing address
1710 W Virginia Ave NE Unit 101
Washington, DC 20002-2338
Phone (202) 739-1861
Other practice location 1
1710 W Virginia Ave NE Unit 101
Washington, DC 20002-2338
Phone (202) 739-1861
Other practice location 2
1331 H St NW Ste 200
Washington, DC 20005-4706
Phone (202) 794-6820
Other practice location 3
8320 Old Courthouse Rd Ste 401
Vienna, VA 22182-3848
Phone (202) 794-6820
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200910000504 | DC | Practitioner - Occupational Therapist in Private Practice | 7214355189 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010000891 | DC | MD | Occupational Therapist |
| 07155 | MD | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Triumph Pediatrics LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Triumph Pediatric Center | Speech-Language Pathologist | Current | Accepting new patients |
| Triumph Therapeutics LLC | Nutritionist | Current | Accepting new patients |
Locations
1331 H St NW
Ste 200
Washington, DC 20005
Phone (202) 417-6576
4900 Massachusetts Ave NW
Ste 305
Washington, DC 20016
Phone (202) 739-1861
4900 Massachusetts Ave NW
Ste 340
Washington, DC 20016
Phone (202) 621-9793
8320 Old Courthouse Rd
Ste 401
Vienna, VA 22182
Phone (571) 999-7973
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Washington, DC
- NPI 1003432097
Speech-Language Pathologist
-
- Pediatric Occupational Therapist
- Washington, DC
- NPI 1558219725
Speech-Language Pathologist
-
- Developmental Disabilities Clinic/Center
- Washington, DC
- NPI 1255794194
Nutritionist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702598400000",
"number": "1629480710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1710 W VIRGINIA AVE NE UNIT 101",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200022338",
"telephone_number": "202-739-1861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 MASSACHUSETTS AVE NW STE 340",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200164358",
"telephone_number": "202-794-6820"
}
],
"practiceLocations": [
{
"address_1": "1710 W Virginia Ave NE Unit 101",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200022338",
"country_code": "US",
"telephone_number": "202-739-1861",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1331 H St NW Ste 200",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200054706",
"country_code": "US",
"telephone_number": "202-794-6820",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8320 Old Courthouse Rd Ste 401",
"address_purpose": "LOCATION",
"city": "Vienna",
"state": "VA",
"postal_code": "221823848",
"country_code": "US",
"telephone_number": "202-794-6820",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAJEKODUNMI",
"first_name": "OMOLOLU",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-23",
"last_updated": "2023-12-15",
"certification_date": "2023-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "07155",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "224Y00000X",
"taxonomy_group": "",
"desc": "Clinical Exercise Physiologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "DC",
"license": "010000891",
"primary": false
}
],
"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 Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.