Olu Peter Ezeani, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT870468 Issued in DC

Practice address

6196 Oxon Hill Rd
120
Oxon Hill, MD 20745-3100

Phone

(301) 529-7479

Fax

(202) 318-8174

NPI assigned

Jun 21, 2006

Last updated

Mar 3, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ace Therapeutix and Consulting LLCGroup PAC ID 8426385972, 3 clinicians

Ergo Occmed, LLCGroup PAC ID 1759564115, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ergo Occmed LLC

  • Physical Therapist
  • Oxon Hill, MD
  • NPI 1720312903

  DC

  Medicare reassignment Care Compare group NPD Authorized official
• Ace Therapeutix and Consulting LLC

  • Physical Medicine & Rehabilitation Physician
  • Beltsville, MD
  • NPI 1124488176

  DC, Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1699711598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6196 OXON HILL RD",
            "address_2": "120",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453100",
            "telephone_number": "301-529-7479",
            "fax_number": "202-318-8174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6196 OXON HILL RD",
            "address_2": "120",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453100",
            "telephone_number": "301-529-7479",
            "fax_number": "202-318-8174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZEANI",
        "first_name": "OLU",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT870468",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "19226",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Envue Surgical LLC
• Ergo Occmed LLC
• Eric G. Dawson, M.D., PC
• Obehi Esene, PHARM. D
• Kevin Espinoza
• Abdul Hamid Fadul, M.D.
• Regina Faison, PT
• Mobolaji Falaiye
• Family and Child Services of Washington, DC., Inc
• Family Care Pharmacy III Inc

• Physical Therapist in Oxon Hill, MD
• Providers in Oxon Hill, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.