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

Individual provider Physical Therapist · NPI 1063089092

Ezeoyibo Justin Otiwu, DPT is a Physical Therapist in Augusta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2021
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

3205 Deans Bridge Rd
Augusta, GA 30906-4208
Phone: (762) 222-1123
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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 PT015301 (GA)

Record details

NPI number1063089092
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedJune 8, 2021
Last updated in NPPESJune 8, 2021
Certification dateJune 8, 2021

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