Eghosa Tedunjaiye, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

25423 Issued in MD

Practice address

801 College LN Apt L
Salisbury, MD 21804-3139

Phone

(909) 809-1698

NPI assigned

Apr 11, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Hudson in Home Physical Therapy and Occupational Therapy PLLC

  • Physical Rehabilitation Occupational Therapist
  • Bronx, NY
  • NPI 1366197758

  Physical Therapist

  NPD

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1831623396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 COLLEGE LN APT L",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218043139",
            "telephone_number": "909-809-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 COLLEGE LN APT L",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218043139",
            "telephone_number": "909-809-1698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEDUNJAIYE",
        "first_name": "EGHOSA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-11",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "25423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roketta L. Taylor, CSC
• Stephanie Lynn Taylor, PA-C
• Terrell Lynn Taylor, BS
• William Clifford Taylor, M.D.
• Lisa Tayman, CRNP
• Tewodros Bizuwork Teferra, M.D.
• Jennifer S Tengen, RPH
• Matthew Thomas Terrell, MPT
• The Center for Aesthetic Surgery LLC
• The Great Atlantic and Pacific Tea Company Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.