Adetola Adeshuko, DPT
Individual provider Active NPI Physical Therapist · Catonsville, MD
NPI 1770890477 · NPPES record last updated Mar 1, 2023
Key facts
- NPI
- 1770890477
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 23671 (MD)
- Practice address
- 910 Frederick Rd
Catonsville, MD 21228-4516 - Phone
- (410) 644-1880
- Fax
- (410) 646-3623
- NPI assigned
- Sep 2, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Centers for Advanced Orthopaedics LLC
Practice addresses (Care Compare)
10710 Charter Dr
Suite 300
Columbia, MD 21044-3260
Phone (410) 644-1880
8610 Washington Blvd
200 Orthopaedic Associates of Central M
Jessup, MD 20794-9499
Phone (410) 644-1880
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DC, MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180910002707 | DC | Practitioner - Physical Therapist in Private Practice | 4183974397 | Reassigns benefits to 2 organizations |
| I20200723001568 | MD | Practitioner - Physical Therapist in Private Practice | 4183974397 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23671 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centers for Advanced Orthopaedics, LLC | Physical Therapist | Current |
Accepting new patients |
| Centers for Advanced Orthopaedics, LLC | Physical Therapist | Current |
Accepting new patients |
| Centers for Advanced Orthopaedics, LLC | Current |
Accepting new patients | |
| Made to Move LLC Dba Forever Fit Physical Therapy & Wellness | Physical Therapist | Current |
Accepting new patients |
| Centers for Advanced Orthopaedics, LLC | Physical Therapist | Current | Accepting new patients |
| Centers for Advanced Orthopaedics, LLC | Current | Accepting new patients |
Locations
4000 Mitchellville Rd
Ste A404
Bowie, MD 20716
Phone (301) 464-3775
4000 Mitchellville Rd
Ste B222
Bowie, MD 20716
Phone (301) 421-1125
3901 National Dr
Ste 100
Burtonsville, MD 20866
Phone (301) 232-3684
910 Frederick Rd
Catonsville, MD 21228
10700 Charter Dr
Ste 100
Columbia, MD 21044
Phone (301) 774-0500
10710 Charter Dr
Ste 300
Columbia, MD 21044
Phone 4106441880450
8818 Centre Park Dr
Ste 111
Columbia, MD 21045
Phone (443) 545-8549
3416 Olandwood Ct
Ste 110
Olney, MD 20832
Phone (301) 637-4336
3414 Olandwood Ct
Olney, MD 20832
Phone (301) 774-0500
3801 International Dr
Ste 200
Silver Spring, MD 20906
Phone (301) 598-1450
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 23671 | MD | Yes |
Addresses
Primary practice location
910 Frederick Rd
Catonsville, MD 21228-4516
Mailing address
910 Frederick Rd
Catonsville, MD 21228-4516
Phone (410) 644-1880
Other providers in Catonsville, MD
- Nicholas K Adams
- Scott M Adams
- Adaram Behavioral Healthcare
- Ilene O Ademola
- Olufunmilayo Adeoye
- Olutoba Adewusi
- Felix A Adeyemi
- Shannon Marie Adler
- Adoptions Together Inc.
- Advance Dental Clinic
All providers in Catonsville, MD · Physical Therapist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.