Healthcare Provider Details

I. General information

NPI: 1659838639
Provider Name (Legal Business Name): SEAN ONYIYECHI EKEKWE DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2019
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9470 ANNAPOLIS RD STE 401
LANHAM MD
20706-3025
US

IV. Provider business mailing address

4470 REGENCY PL STE 100
WHITE PLAINS MD
20695-3085
US

V. Phone/Fax

Practice location:
  • Phone: 301-938-7322
  • Fax: 240-408-7890
Mailing address:
  • Phone: 301-934-5336
  • Fax: 301-934-0498

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number27344
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: