ROSELINE IFEDAYO OYEBANJI – Geriatric Physical Therapist, NPI 1396522744

ROSELINE IFEDAYO OYEBANJI is a healthcare provider. based in Wickliffe, Ohio. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. PT021005 (OH). The NPI Number for ROSELINE IFEDAYO OYEBANJI is 1396522744

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
ROSELINE IFEDAYO OYEBANJI
NPI
1396522744
Phone
(309) 569-0574
Address
28500 Euclid Ave
Enumeration Date
11 September 2023
Last Update Date
29 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2162155444
Graduation Year
2016 (10 years ago)
PAC ID
7113371121
Group Practice PAC ID
1850781162
Professional Enrollment ID
I20260129002409
Address ID
OH441434422RI261XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

2,243 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OH

Provider Addresses for ROSELINE IFEDAYO OYEBANJI

  • 28500 Euclid Ave

    Wickliffe, OH 440922500

    Phone: (309) 569-0574

    Type: Location

  • 2199 N TAYLOR RD

    CLEVELAND, OH 441123051

    Phone: (347) 534-2516

    Fax: (309) 569-0574

    Type: Mailing

  • 261 RICHMOND RD

    RICHMOND HEIGHTS, OH 441434422

    Phone: (309) 569-0574

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-01-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230925003308IPhysical Therapist In Private PracticeNYTBD
I20260129002409IPhysical Therapist In Private PracticeOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44092)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850781162View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeOH
Qualified Speech Language PathologistOH
Occupational Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Occupational Therapist In Private PracticeOH
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

How is ROSELINE IFEDAYO OYEBANJI identified in CMS data?
CMS-hosted NPPES data lists ROSELINE IFEDAYO OYEBANJI with NPI 1396522744.
Does CMS list ROSELINE IFEDAYO OYEBANJI as active?
Yes — ROSELINE IFEDAYO OYEBANJI is active in the NPI listing used on this page.
What is ROSELINE IFEDAYO OYEBANJI best known for clinically?
Directory data describes ROSELINE IFEDAYO OYEBANJI with Geriatric Physical Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for ROSELINE IFEDAYO OYEBANJI?
ROSELINE IFEDAYO OYEBANJI's geographic hint is Wickliffe, Ohio in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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