MEDICARE: OLUWAFEMI MAKINDE PT, DPT, MPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT017165	GA
2	225100000X	Physical Therapist	CP039482T	NC
3	225100000X	Physical Therapist	PT44163	FL

General Provider Information

NPI Number	:	1912744855
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLUWAFEMI MAKINDE PT, DPT, MPH

Provider Business Mailing Address
First Line	:	1197 JOHNSON FERRY RD
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30068-2718
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5101 GREENWOOD AVE
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-2442
Country	:	US
Telephone Number	:	561-842-7588
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2024
Last Update Date	:	02/14/2026

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