Active NPI
Oyeronke Idowu Oyedeji, PT
- Physical Therapist
- Woodstock, GA
National Provider Identifier
1801035811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9407
- Practice address
- 105 Arnold Mill Rd
Woodstock, GA 30188-5027 - Phone
- (770) 926-0016
- NPI assigned
- Feb 13, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9407 | GA | Primary |
Addresses
Primary practice location
105 Arnold Mill Rd
Woodstock, GA 30188-5027
Mailing address
5343 Fox Valley Trce
Stone Mountain, GA 30088-2615
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9407 | GA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234569600000",
"number": "1801035811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5343 FOX VALLEY TRCE",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300882615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 ARNOLD MILL RD",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301885027",
"telephone_number": "770-926-0016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OYEDEJI",
"first_name": "OYERONKE",
"middle_name": "IDOWU",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-13",
"last_updated": "2009-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "9407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.