MR. OLUGBOLAHAN ANIFOWOSE
NPI 1740715168
Physical Therapist - Geriatrics in Owings Mills, MD
About Mr. Olugbolahan Anifowose NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. OLUGBOLAHAN ANIFOWOSE (NPI 1740715168) is an individual geriatrics provider in Owings Mills, Maryland, licensed in Maryland (26228) and active in the NPI registry since April 2017. He is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Olugbolahan Anifowose is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Olugbolahan Anifowose reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Reisterstown, MD 21136
- Reassigned Medicare billing, Maryland enrollment
- 10 clinicians in this Medicare group
Finksburg, MD 21048
- Reassigned Medicare billing, Maryland enrollment
- 10 clinicians in this Medicare group
Baltimore, MD 21223
- Reassigned Medicare billing, Maryland enrollment
- 6 clinicians in this Medicare group
Edgewood, MD 21040
- Reassigned Medicare billing, Maryland enrollment
- 7 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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 Olugbolahan Anifowose's NPI number?
The NPI number for Olugbolahan Anifowose is 1740715168. It was assigned to this individual provider in the NPPES registry on April 23, 2017.
Where is Olugbolahan Anifowose located?
Olugbolahan Anifowose practices at 669 Wilbur Sq, Owings Mills, MD 21117. The listed phone number is (973) 336-4599.
What is Olugbolahan Anifowose's specialty?
The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.
Is Olugbolahan Anifowose enrolled in Medicare?
Yes. Olugbolahan Anifowose is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Olugbolahan Anifowose's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Olugbolahan Anifowose reassigns Medicare benefits to 4 organizations: Supreme Health And Rehabilitation Services, LLC (Reisterstown, MD), Valuecare Corporation (Finksburg, MD), Proactive Therapy, LLC (Baltimore, MD) and Prime Light Health Services (Edgewood, MD). Each 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 Olugbolahan Anifowose'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 Olugbolahan Anifowose was last updated on April 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Mr. Olugbolahan Anifowose · NPI 1740715168
Geriatrics provider in Owings Mills, Maryland. Individual provider, active in the CMS NPPES registry since April 23, 2017.
## Identity
- **NPI:** 1740715168 (Entity type: Individual)
- **Enumerated:** April 23, 2017
- **Primary specialty:** Physical Therapist - Geriatrics · taxonomy 2251G0304X
- **State license:** 26228 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 669 WILBUR SQ, Owings Mills, MD 21117-2479
- **Phone:** (973) 336-4599
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Supreme Health And Rehabilitation Services, LLC (NPI 1881408417, Reisterstown, MD); Valuecare Corporation (NPI 1134757818, Finksburg, MD); Proactive Therapy, LLC (NPI 1023040128, Baltimore, MD); Prime Light Health Services (NPI 1053120592, Edgewood, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** April 23, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1740715168) · Data from the CMS NPPES public registry.