Individual provider Active NPI

Oluwafemi Makinde, PT, DPT, MPH

  • Physical Therapist
  • Marietta, GA
National Provider Identifier
1912744855
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT017165 Issued in GA
Practice address
1197 Johnson Ferry Rd Ste 200
Marietta, GA 30068-2718
Phone
(770) 321-0155
NPI assigned
Jul 9, 2024
Last updated
Oct 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP039482T NC
Physical Therapist 225100000X PT44163 FL
Physical Therapist 225100000X PT017165 GA Primary

Addresses

Primary practice location

1197 Johnson Ferry Rd Ste 200
Marietta, GA 30068-2718

Mailing address

1197 Johnson Ferry Rd
Marietta, GA 30068-2718

Other practice location 1

4880 Lower Roswell Rd Ste 625
Marietta, GA 30068-4390
Phone (678) 809-8443

Other practice location 2

2400 W Mallard Creek Church Rd Ste A
Charlotte, NC 28262-2325
Phone (704) 323-2108

Other practice location 3

5101 Greenwood Ave
West Palm Beach, FL 33407-2442
Phone (561) 842-7588

Other names 1

  • Femi Makinde Other name

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

LicenseStateTypeSpecialty
PT44163FLMDPhysical Therapist
PT017165GAMDPhysical Therapist
CP039482TNCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Health Systems LLC Physical Therapist Past 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, 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": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1912744855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1197 JOHNSON FERRY RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1197 JOHNSON FERRY RD STE 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682718",
            "telephone_number": "770-321-0155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4880 Lower Roswell Rd Ste 625",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300684390",
            "country_code": "US",
            "telephone_number": "678-809-8443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 W Mallard Creek Church Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282622325",
            "country_code": "US",
            "telephone_number": "704-323-2108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5101 Greenwood Ave",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334072442",
            "country_code": "US",
            "telephone_number": "561-842-7588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAKINDE",
        "first_name": "OLUWAFEMI",
        "credential": "PT, DPT, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-09",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "CP039482T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT44163",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT017165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FEMI",
            "last_name": "MAKINDE",
            "credential": "PT, DPT, MPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; 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.