Graceful Hands Telecare LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

GRACEFUL HANDS TELECARE LLC

Practice address

5193 Mudville LN
Waldorf, MD 20602-4217

Phone

(202) 390-9084

NPI assigned

Nov 17, 2019

Organization subpart

No

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

Authorized official

Name

Olukayode Olufayo, PTNPI 1902145808

Title

Owner

Phone

(202) 390-9084

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Graceful Hands Rehabilitation Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Olukayode Olufayo, DPT

  • Physical Therapist
  • Waldorf, MD
  • NPI 1902145808
  Medicare reassignment NPD Authorized official
• Roxanne Eugene, PT, DPT

  • Physical Therapist
  • Washington, DC
  • NPI 1174187660
  NPD

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

{
    "created_epoch": "1573948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597363200000",
    "number": "1821633504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5193 MUDVILLE LN",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206024217",
            "telephone_number": "202-390-9084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5193 MUDVILLE LN",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206024217",
            "telephone_number": "202-390-9084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL HANDS TELECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-17",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A",
        "authorized_official_last_name": "OLUFAYO",
        "authorized_official_first_name": "OLUKAYODE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-390-9084",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE",
            "identifier": "24459",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1821633504",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Graceful Hands Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Niketa Gordon
• Michael Alan Gorze, DPT
• Emily Gotsch, LCPC
• Laure Cecile Goudiaby, NP
• Graced for the Journey, LLC
• Cecelia Ann Gramsky, CRNP
• Christine Elizabeth Grant, PMHNP
• Gratitude Counseling LLC
• Daneille Gray, LMFT
• Justina Gray

• Physical Medicine & Rehabilitation Physician in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Physical Medicine & Rehabilitation Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.