WHITNEY OMOSEDE ENOBAKHARE
NPI 1174240642
Specialist/Technologist - Athletic Trainer in Norwood, MA

Q: What is Whitney Enobakhare's NPI number?

The NPI number for Whitney Enobakhare is 1174240642. It was assigned to this individual provider in the NPPES registry on October 25, 2022.

Q: What is Whitney Enobakhare's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Active since October 25, 2022PECOS Enrolled

19 HIGHLAND ST APT 3, NORWOOD, MA 02062(857) 285-3504 Get Directions Write a Review

NPPES record last updated: October 25, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Whitney Omosede Enobakhare NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WHITNEY OMOSEDE ENOBAKHARE (NPI 1174240642) is an individual athletic trainer provider in Norwood, Massachusetts and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1174240642

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameWHITNEY OMOSEDE ENOBAKHARE

Location Address19 HIGHLAND ST APT 3Norwood, MA 02062-3279

Mailing Address19 Highland St Apt 3Norwood, MA 02062-3279 · (857) 285-3504

Phone(857) 285-3504

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateOctober 25, 2022

NPPES CertifiedOctober 25, 2022

✔ NPI 1174240642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

19 HIGHLAND ST APT 3, Norwood, MA 02062

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Whitney Omosede Enobakhare is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729546569

PECOS Enrollment IDI20260821000940

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Whitney Enobakhare reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA

1,242 mi

Mental Health

66 W FLAGLER ST STE 900
Miami, FL 33130

Reassigned Medicare billing, Massachusetts enrollment
522 clinicians in this Medicare group

NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Whitney Enobakhare's NPI number?

The NPI number for Whitney Enobakhare is 1174240642. It was assigned to this individual provider in the NPPES registry on October 25, 2022.

Where is Whitney Enobakhare located?

Whitney Enobakhare practices at 19 Highland St Apt 3, Norwood, MA 02062. The listed phone number is (857) 285-3504.

What is Whitney Enobakhare's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Is Whitney Enobakhare enrolled in Medicare?

Yes. Whitney Enobakhare is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Whitney Enobakhare's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Whitney Enobakhare reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Whitney Enobakhare's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Whitney Enobakhare was last updated on October 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.