Olumayowa Enoma-Yusuf, , OTD OTR/L

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

OTH007661 Issued in AZ

Practice address

12164 E Domnitch Dr
Vail, AZ 85641-6873

Phone

(520) 757-3035

NPI assigned

Jul 16, 2016

Sex

Female

Sole proprietor

No

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.

• Glorious Therapy Services LLC

  • Occupational Therapist
  • Vail, AZ
  • NPI 1124985411
  NPD Authorized official
• Heartland Therapy, Inc.

  • Home Health Agency
  • Mesa, AZ
  • NPI 1962552547
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 7, 2026.

{
    "created_epoch": "1468627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1942653761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12164 E DOMNITCH DR",
            "city": "VAIL",
            "state": "AZ",
            "postal_code": "856416873",
            "telephone_number": "520-757-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12164 E DOMNITCH DR",
            "city": "VAIL",
            "state": "AZ",
            "postal_code": "856416873",
            "telephone_number": "520-757-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENOMA-YUSUF",
        "first_name": "OLUMAYOWA",
        "name_prefix": "Miss",
        "credential": ", OTD OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-16",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "AZ",
            "license": "OTH007661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celina Duran, RN
• Julie C Duvall, PHD CANDIDATE
• Julie Cristina Easterday, FNP
• Stacy B Eilers
• Chrissi Engstrom
• John William Fahlberg Jr., M.D.
• Saundra Lee Fahring
• Nancy C Faria
• Sylvia Fischer, CNM FNP-C
• Four Peaks Medical Transportation Company

• All providers in Vail, AZ
• Physical Rehabilitation Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.