Modupe Adebowale Adewunmi
Individual provider Active NPI Physical Therapist · Washington, DC
NPI 1902016637 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1902016637
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT870543 (DC)
- Practice address
- 4500 Connecticut Ave NW
Washington, DC 20008-4326 - Phone
- (202) 882-6988
- NPI assigned
- May 23, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT870543 | DC | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT870543 | DC | Yes |
Addresses
Primary practice location
4500 Connecticut Ave NW
Washington, DC 20008-4326
Mailing address
4500 Connecticut Ave NW
Washington, DC 20008-4326
Phone (202) 882-6988
Other names
- Modupe Adebowale Adebanjo
Other providers in Washington, DC
- Benson O Adewumi
- Folashade Adewumi
- Juliana Adewumi
- Taiwo Adewumi
- Kudiratu Aduke Adewunmi
- Adewale Adewuyi
- Kemi Adeyale
- Olabode Christopher Adeyefa-Olasupo
- Tejumade Adeyelu
- Adebisi Emmanuella Adeyemi
All providers in Washington, DC · Physical Therapist in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.