Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Emmanuel Olumuyiwa Moses, PT, DPT, OCS, CCI

Individual provider Physical Therapist · NPI 1588742514

Dr. Emmanuel Olumuyiwa Moses, PT, DPT, OCS, CCI is a Physical Therapist in Private Practice in Glenn Dale, Maryland. Qualified in 2004, 22 years ago. Practices with Evidence Physical Therapy, LLC, a 10-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
22
Licensed in
MD
In the registry since
2006
Specialties on file
2
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

12150 Annapolis Rd Ste 201
Glenn Dale, MD 20769
Phone: (301) 352-8370
Fax: (301) 352-8372
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7801 Old Branch Ave Ste 105, Clinton, MD 20735-1641 — (301) 856-8386

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 21846 (MD)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence 21846 (MD)

Record details

NPI number1588742514
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , OCS , CCI
Sole proprietorYes
NPI enumeratedNovember 1, 2006
Last updated in NPPESJuly 15, 2018

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Evidence Physical Therapy, Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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