Obimefula Ozoemenam Anyim, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9197 Issued in NC

Practice address

1690 Heather Trace LN
Winston Salem, NC 27127-7380

Phone

(336) 414-5501

NPI assigned

Dec 30, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pruitthealth Therapy Services IncGroup PAC ID 9335159730, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pruitthealth Therapy Services, Inc.

  • Rehabilitation Clinic/Center
  • Norcross, GA
  • NPI 1013152933

  NC, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Fox Rehab PT NC LLC

  • Physical Therapist
  • Matthews, NC
  • NPI 1053199844
  Medicare reassignment NPD

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

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1902042617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 HEATHER TRACE LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271277380",
            "telephone_number": "336-414-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 HEATHER TRACE LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271277380",
            "telephone_number": "336-414-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANYIM",
        "first_name": "OBIMEFULA",
        "middle_name": "OZOEMENAM",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-30",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "9197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "Fox Rehab PT NC LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2008 Moore Rd",
            "city": "Matthews",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281054978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Antinique M Noble
• Laura Antonelli
• Dalia Antunez, MSW, LCSWA
• Anue, Inc
• Anue, Inc.
• Candace Bouler Anz, M.D.
• Saskia Anzola, MD
• Ioana M Apoltan, MD
• Walter Alexander Appanaitis, O.D.
• Lori K Apple, MSPT

• Physical Therapist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.