Individual provider Active NPI

Ifeanyichukwu J Ogili, DPT

  • Physical Therapist
  • Greenbelt, MD
National Provider Identifier
1841039815
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
29911 Issued in MD
Practice address
7500 Hanover Pkwy Ste 103
Greenbelt, MD 20770-2011
Phone
(240) 774-0222
NPI assigned
May 21, 2024
Last updated
May 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 29911 MD Primary

Addresses

Primary practice location

7500 Hanover Pkwy Ste 103
Greenbelt, MD 20770-2011

Mailing address

5101 Marewood CT
Upper Marlboro, MD 20772-3168
Phone (301) 537-1465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240610000025 DC Practitioner - Physical Therapist in Private Practice 5193267920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mosaddegh Physical Therapy IncGroup PAC ID 5698952422, 9 clinicians

Practice addresses (Care Compare)

7500 Hanover Pkwy
Suite 103
Greenbelt, MD 20770-2011
Phone (301) 446-1644

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29911MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaddegh Physical Therapy Inc Physical Therapist CurrentSince May 28, 2024 Accepting new patients
Mosaddegh Physical Therapy Inc. Physical Therapist PastSince Oct 13, 2019 Accepting new patients

Locations

7500 Hanover Pkwy
Ste 103
Greenbelt, MD 20770
Phone (301) 446-1644

17902 Georgia Ave
Ste 220
Olney, MD 20832

6510 Kenilworth Ave
Ste 2200
Riverdale, MD 20737
Phone (240) 770-8750

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1841039815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 MAREWOOD CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723168",
            "telephone_number": "301-537-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 HANOVER PKWY STE 103",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702011",
            "telephone_number": "240-774-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGILI",
        "first_name": "IFEANYICHUKWU",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "29911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.