Olugbolahan Anifowose
NPI 1740715168ActiveIndividual· Physical Therapist, Geriatrics· Owings Mills, MD
Physical Therapist, Geriatrics with Supreme Health and Rehabilitation Services, LLC and 3 other groups, practicing in Owings Mills, Maryland. Medicare paid $123,141 for services to 106 patients in 2024.
Overview
| NPI | 1740715168 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Apr 23, 2017 |
| Last updated in NPPES | Apr 23, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist, Geriatrics Primary | 2251G0304X | 26228 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 106 |
|---|---|
| Services billed | 6,656 across 8 procedure codes |
| Paid by Medicare | $123,141 |
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Supreme Health and Rehabilitation Services, LLCReisterstown, MD · 7 clinicians
- Prime Light Health ServicesEdgewood, MD · 6 clinicians
- Valuecare CorporationFinksburg, MD · 4 clinicians
- Proactive Therapy, LLCBaltimore, MD · 2 clinicians