Enoh Okodiko

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

12150 Annapolis Rd Ste 201
Glenn Dale, MD 20769-9183

Phone

(301) 352-8370

NPI assigned

Aug 27, 2020

Last updated

Sep 1, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Annapolis Pain Management LLCGroup PAC ID 0749553873, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Annapolis Pain Management, LLC

  • Interventional Pain Medicine Physician
  • Annapolis, MD
  • NPI 1073052353

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Evidence Physical Therapy, LLC

  dba EvidencePT

  • Physical Therapy Clinic/Center
  • Glenn Dale, MD
  • NPI 1831493030

  DC, Single Specialty

  Medicare reassignment NPD
• Maryland Luna Care Physical Therapy LLC

  • Physical Therapist
  • Chevy Chase, MD
  • NPI 1083340988

  DC

  Medicare reassignment
• Medstar Health Physical Therapy at Home, LLC.

  • Rehabilitation Clinic/Center
  • Columbia, MD
  • NPI 1891472684
  Medicare reassignment

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

{
    "created_epoch": "1598486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1699388835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12150 ANNAPOLIS RD",
            "address_2": "STE 201",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699183",
            "telephone_number": "646-508-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12150 ANNAPOLIS RD STE 201",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699183",
            "telephone_number": "301-352-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKODIKO",
        "first_name": "ENOH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-27",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Osinachi Shawn Nwaobilor
• Philomina Nyasa
• Octavia Simkins-Wiseman DDS PC (Mitchellville Family Dentistry)
• Naomi Odai-Anim
• Mary Ogunsanya, MD
• Ifenyiwa Helen Okonkwonwanigwe
• Ikechi F Okwara, MD
• Nkechi Okwara
• Stella Oladokun
• Funmilayo Olugbemi, CRNP-PMH

• Physical Therapist in Glenn Dale, MD
• Providers in Glenn Dale, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.