Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ayodeji K Kofoworola, PT, DPT

Individual provider Physical Therapist · NPI 1104633197

Ayodeji K Kofoworola, PT, DPT is a Physical Therapist in Private Practice in Evanston, Illinois. Qualified in 2023, 3 years ago. Practices with DPT Holdings LLC, a 167-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
3
Licensed in
IL
In the registry since
2024
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1129 Emerson St
Evanston, IL 60201-3131
Phone: (800) 974-4378
Fax: (630) 515-1536
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070.028835 (IL)

Record details

NPI number1104633197
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedDecember 13, 2024
Last updated in NPPESDecember 13, 2024
Certification dateDecember 13, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Dpt Holdings Llc — 167 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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