NPIMap

Olisaeloka Anyakwo, PT

Individual provider Active NPI Physical Therapist · Odenton, MD

NPI 1770101487 · NPPES record last updated Jan 3, 2025

Key facts

NPI
1770101487
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
29624 (MD)
Practice address
1132 Annapolis Rd
Odenton, MD 21113-1647
Phone
(410) 874-1700
Fax
(410) 874-1707
NPI assigned
Jul 9, 2020
Sex
Male
Sole proprietor
No

Organizations & group practices 15

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanta Rehabilitation and Performance Center (95 clinicians)
Functional Pathways Preferred of Tennessee LLC (194 clinicians)

Practice addresses (Care Compare)

1301 Sigman Rd NE
Suite 220
Conyers, GA 30012-3819
Phone (678) 210-0311

4743 Atlanta Hwy
Suite 100
Loganville, GA 30052-2686
Phone (770) 466-9343

9701 Veirs Dr
Rockville, MD 20850-3414
Phone (888) 531-2204

Medicare participation

Medicare fee-for-service enrollment
Enrolled (3 enrollments) in MD, DC, GA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20231005003146 MD Practitioner - Physical Therapist in Private Practice 5294159794 Reassigns benefits to 2 organizations
I20231024000105 DC Practitioner - Physical Therapist in Private Practice 5294159794 Reassigns benefits to 2 organizations
I20260205004504 GA Practitioner - Physical Therapist in Private Practice 5294159794 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
PTH9714ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hughston Clinic, P.C. Current
since Feb 19, 2022		 Accepting new patients
Drayer Physical Therapy-Alabama, LLC Physical Therapist Current
since Feb 7, 2022		 Accepting new patients
Hughston Clinic, PC Current
since Feb 19, 2022		 Accepting new patients
Drayer Physical Therapy Alabama LLC Current
since Feb 7, 2022		 Accepting new patients
Johns Hopkins Community Physicians, Inc Current Accepting new patients
Atlanta Rehabilitation and Performance Center Current
since Nov 10, 2025		 Accepting new patients
Johns Hopkins Community Physicians Current
since Jan 1, 2025		 Accepting new patients
Functional Pathways Preferred of Tennessee LLC Physical Therapist Current
since Sep 2, 2025		 Accepting new patients
Atlanta Rehabilitation and Performance Center Current
since Nov 10, 2025		 Accepting new patients
Johns Hopkins Community Physicians, Inc. Current
since Jan 1, 2025		 Accepting new patients
Progressive Physical Therapy, LLC Physical Therapist Current
since Sep 18, 2023		 Accepting new patients
Agilitas USA Inc Physical Therapist Current
since Jul 13, 2020		 Accepting new patients
Agilitas USA, Inc Physical Therapist Current
since Jul 13, 2020		 Accepting new patients
Progressive Physical Therapy, LLC Physical Therapist Past
since Dec 6, 2020		 Accepting new patients
Progressive Physical Therapy, LLC Physical Therapist Past
since Sep 18, 2023		 Accepting new patients

Locations

161 E University Dr
Auburn, AL 36832
Phone (334) 699-5747

2215 Decatur Hwy
Ste 125
Gardendale, AL 35071
Phone (205) 285-8790

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

4601 Whitesburg Dr SE
Ste 102
Huntsville, AL 35802
Phone (256) 883-1734

742 Main St
Montevallo, AL 35115
Phone (205) 664-5863

2257 Taylor Rd
Montgomery, AL 36117
Phone (334) 245-6605

6971 Eastchase Loop
Montgomery, AL 36117
Phone (334) 721-6500

2703 Legends Pkwy
Prattville, AL 36066
Phone (334) 380-4930

2735 Legends Pkwy
Prattville, AL 36066
Phone (334) 310-2100

4001 Brandywine St NW
Ste 301
Washington, DC 20016
Phone (202) 516-5697

4220 Mundy Mill Pl
Ste 2B
Oakwood, GA 30566
Phone (678) 450-9933

2400 Wisteria Dr
Ste A
Snellville, GA 30078
Phone (770) 982-0102

127 Lubrano Dr
Ste 203
Annapolis, MD 21401
Phone (443) 333-1252

516 E Belvedere Ave
Baltimore, MD 21212
Phone (443) 853-1713

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

6430 Rockledge Dr
Ste 450A
Bethesda, MD 20817
Phone (240) 630-5938

10700 Charter Dr
Ste 205
Columbia, MD 21044
Phone (443) 546-1575

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

1132 Annapolis Rd
Ste 101
Odenton, MD 21113
Phone (410) 672-8091

1132 Annapolis Rd
Odenton, MD 21113
Phone (410) 674-0020

10133 Sherrill Blvd
Ste 200
Knoxville, TN 37932
Phone (865) 392-2847

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH9714 AL
Physical Therapist 225100000X 29624 MD Yes

Addresses

Primary practice location

1132 Annapolis Rd
Odenton, MD 21113-1647

Mailing address

6201 Greenleigh Ave
Baltimore, MD 21220-2004
Phone (410) 933-5412

Other practice location 1

6971 Eastchase Loop
Montgomery, AL 36117-6876
Phone (334) 721-6500

Other practice location 2

2735 Legends Pkwy
Prattville, AL 36066-7755
Phone (334) 310-2100

Other practice location 3

2703 Legends Pkwy
Prattville, AL 36066-7755
Phone (334) 380-4930

Other providers in Odenton, MD

All providers in Odenton, MD · Physical Therapist in Maryland

Sources for this page

Verify at the official NPI Registry.