| Oladipupo Sam Ajayi, | |
|
497 Main St Fl 1, Prince Frederick, MD 20678-3189 | |
| (410) 414-3560 | |
| Not Available |
| Full Name | Oladipupo Sam Ajayi |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 497 Main St Fl 1, Prince Frederick, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043929177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 29226 (Maryland) | Primary |
| Provider Name | Sage Physical Therapy & Wellness Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1467757575 PECOS PAC ID: 4789860131 Enrollment ID: O20110519000118 |
| Mailing Address | Practice Location Address |
|---|---|
| Oladipupo Sam Ajayi, 2210 Stream Vista Pl Apt 305, Waldorf, MD 20601-7295 Ph: () - | Oladipupo Sam Ajayi, 497 Main St Fl 1, Prince Frederick, MD 20678-3189 Ph: (410) 414-3560 |
Christopher Paul Dudley, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 110 Main Street, Prince Frederick, MD 20678 Phone: 410-535-9850 Fax: 410-535-9851 | |
Samantha Dumesnil, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 220 Solomons Island Rd N, Prince Frederick, MD 20678 Phone: 410-885-4710 | |
Jessica Marie Weimert, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 70 Sherry Ln Ste 203, Prince Frederick, MD 20678 Phone: 410-535-9087 | |
Maribeth Wilkins, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1305 Dares Beach Rd, Prince Frederick, MD 20678 Phone: 443-550-8345 | |
Professional Sportscare & Rehab, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 220 Solomons Island Rd N, Prince Frederick, MD 20678 Phone: 410-885-4710 Fax: 410-885-4709 | |
Dr. Richard Alexander Matthews, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 110 Main Street, Suite 1, Prince Frederick, MD 20678 Phone: 410-535-9850 Fax: 410-535-9851 |