Olisaeloka Anyakwo, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

29624 Issued in MD

Practice address

1132 Annapolis Rd
Odenton, MD 21113-1647

Phone

(410) 874-1700

Fax

(410) 874-1707

NPI assigned

Jul 9, 2020

Last updated

Jan 3, 2025By 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 MD, DC, GA3 enrollments

Enrollment records 3

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 CenterGroup PAC ID 5890692917, 95 clinicians

Functional Pathways Preferred of Tennessee LLCGroup PAC ID 2860649654, 194 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Atlanta Rehabilitation and Performance Center

  dba nMotion Physical Therapy

  • Physical Therapy Clinic/Center
  • Cleveland, GA
  • NPI 1982797494
  Medicare reassignment Care Compare group NPD
• Functional Pathways Preferred of Tennessee LLC

  • Physical Therapist
  • Knoxville, TN
  • NPI 1841561446

  DC

  Medicare reassignment Care Compare group NPD
• Johns Hopkins Community Physicians, Inc

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1578598868
  Medicare reassignment NPD
• Progressive Physical Therapy, LLC

  dba Phoenix Rehabilitation and Health Services, LLC

  • Physical Therapist
  • Marriottsville, MD
  • NPI 1659553535

  DC

  Medicare reassignment NPD
• Johns Hopkins Community Physicians

  dba JHCP- 6225 Smith Avenue; Mental Health Therapy

  • Clinical Social Worker
  • Baltimore, MD
  • NPI 1356161806
  NPD
• Johns Hopkins Community Physicians, Inc.

  • Clinical Social Worker
  • Baltimore, MD
  • NPI 1164295887
  NPD
• Agilitas USA Inc

  dba Results Physiotherapy

  • Physical Therapy Clinic/Center
  • Hixson, TN
  • NPI 1962417444

  Physical Therapist

  NPD
• Agilitas USA, Inc

  dba Results Physiotherapy

  • Physical Therapy Clinic/Center
  • Chattanooga, TN
  • NPI 1518695436

  Physical Therapist

  NPD
• Atlanta Rehabilitation and Performance Center

  • Physical Therapy Clinic/Center
  • Lawrenceville, GA
  • NPI 1013789205
  NPD
• Drayer Physical Therapy Alabama LLC

  • Physical Therapy Clinic/Center
  • Northport, AL
  • NPI 1417593625
  NPD
• Drayer Physical Therapy-Alabama, LLC

  • Physical Therapist
  • Gardendale, AL
  • NPI 1023440583
  NPD
• Hughston Clinic, P.C.

  • Orthopaedic Surgery Physician
  • Columbus, GA
  • NPI 1164461190
  NPD

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1770101487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 GREENLEIGH AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212202004",
            "telephone_number": "410-933-5412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 ANNAPOLIS RD",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131647",
            "telephone_number": "410-874-1700",
            "fax_number": "410-874-1707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6971 Eastchase Loop",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361176876",
            "country_code": "US",
            "telephone_number": "334-721-6500",
            "fax_number": "334-721-6501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2735 Legends Pkwy",
            "address_purpose": "LOCATION",
            "city": "Prattville",
            "state": "AL",
            "postal_code": "360667755",
            "country_code": "US",
            "telephone_number": "334-310-2100",
            "fax_number": "334-310-2203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2703 Legends Pkwy",
            "address_purpose": "LOCATION",
            "city": "Prattville",
            "state": "AL",
            "postal_code": "360667755",
            "country_code": "US",
            "telephone_number": "334-380-4930",
            "fax_number": "205-803-6605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANYAKWO",
        "first_name": "OLISAELOKA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-09",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH9714",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "29624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeslyn Annan
• Annapolis Children's Therapy Center LLC
• Anne Arundel County Dept. of Health
• Anne Arundel Gastroenterology Associates PA
• Anne Arundel Urology, PA
• Apex Standard Services LLC
• Apex Standard Services LLC
• Aquafit Physical Therapy, LLC
• Araya Wellness LLC
• Aria Health Collective LLC

• Physical Therapist in Odenton, MD
• Providers in Odenton, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.