Adaobi E Igboanugo

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

25846 Issued in MD

Practice address

700 W 40TH St
Baltimore, MD 21211-2140

Phone

(410) 235-8860

NPI assigned

Aug 23, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1720569171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 N MOUNT ST APT 2",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212172216",
            "telephone_number": "312-978-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W 40TH ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112140",
            "telephone_number": "410-235-8860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 E Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208524045",
            "country_code": "US",
            "telephone_number": "301-816-5027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IGBOANUGO",
        "first_name": "ADAOBI",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-23",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "MD",
            "license": "25846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PT LICENSE",
            "identifier": "25846",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Iflp Lives LLC
• Elvine Zita Ndongmo Ifoue, RN
• Ruth Malka Ifrah, APRN, FNP-C
• Mustafa Iftikhar, MD
• Michelle M. a. Igbani, M.D.
• Somtochi Igbudu
• Peter Olusola Ige
• Tolulope Ige, PMHNP-BC
• Ilani Ighedosa, LCSW-C
• Jennifer Ighodaro

• Geriatric Physical Therapist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Geriatric Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.