Anne Ajiyi Bamidele, PTA
NPI 1003068560ActiveIndividual· Occupational Therapist· Muncie, IN
Occupational Therapist (PTA) with Healthpro Heritage Rehab and Fitness LLC, practicing in Muncie, Indiana. Enrolled in Medicare as practitioner - occupational therapist in private practice.
Overview
| NPI | 1003068560 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PTA |
| Sole proprietor | No |
| NPI issued | Oct 16, 2008 |
| Last updated in NPPES | Mar 6, 2024 |
| Certified by provider | Mar 6, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 31005495A | IN |
| Physical Therapy Assistant | 225200000X | 06003312A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (IN) |
|---|
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- Healthpro Heritage Rehab and Fitness LLCKingwood, TX · 969 clinicians
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