Totalcare Wellness and Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT011267 Issued in GA

Legal business name

TOTALCARE WELLNESS AND PHYSICAL THERAPY LLC

Practice address

1301 Low Water Way
Lawrenceville, GA 30045-7079

Phone

(678) 894-5628

NPI assigned

Aug 1, 2014

Last updated

Aug 1, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bayo Uwaifo Sedenu, PT, PHDNPI 1982043048

Title

Ceo

Phone

(678) 894-5628

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bayo U Sedenu, PT, PHD

  • Physical Therapist
  • Lawrenceville, GA
  • NPI 1982043048
  Authorized official Same address or phone

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

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406851200000",
    "number": "1679981781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 LOW WATER WAY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300457079",
            "telephone_number": "678-894-5628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 LOW WATER WAY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300457079",
            "telephone_number": "678-894-5628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTALCARE WELLNESS AND PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-01",
        "last_updated": "2014-08-01",
        "status": "A",
        "authorized_official_last_name": "SEDENU",
        "authorized_official_first_name": "BAYO",
        "authorized_official_middle_name": "UWAIFO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-894-5628",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, PHD"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT011267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATE OF ORGANIZATION",
            "identifier": "14025628",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.