Active NPI
Orimashe Abdulsalam Jimoh
- Physical Therapist
- Capitol Heights, MD
National Provider Identifier
1902417967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 27863
- Practice address
- 1801 Richie Station Court
Suite 200
Capitol Heights, MD 20743 - Phone
- (240) 455-9400
- Fax
- (240) 455-9401
- NPI assigned
- Aug 13, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 27863 | MD | Primary |
Addresses
Primary practice location
1801 Richie Station Court
Suite 200
Capitol Heights, MD 20743
Mailing address
3839 Saint Barnabas Rd Apt 204
Suitland, MD 20746-3233
Phone (909) 602-9426
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27863 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riseti Services LLC | Single Specialty | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597276800000",
"number": "1902417967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3839 SAINT BARNABAS RD APT 204",
"city": "SUITLAND",
"state": "MD",
"postal_code": "207463233",
"telephone_number": "909-602-9426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 RICHIE STATION COURT",
"address_2": "SUITE 200",
"city": "CAPITOL HEIGHTS",
"state": "MD",
"postal_code": "20743",
"telephone_number": "240-455-9400",
"fax_number": "240-455-9401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMOH",
"first_name": "ORIMASHE",
"middle_name": "ABDULSALAM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-13",
"last_updated": "2020-08-13",
"certification_date": "2020-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "MD",
"license": "27863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Capitol Heights, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.