NPPES file of Aug 9, 2026

Prime Light Health Services in Edgewood, MD

This location of Prime Light Health Services bills under NPI 1053120592, an organization record issued on Dec 30, 2024 with the primary taxonomy Occupational Therapist. It is one of 3 NPIs registered under this name and one of 3 in Edgewood; each clinician who sees you there has their own NPI and license.

CMS NPPES registry, file of Aug 9, 2026 · method · Verify with CMS →

Organization recordNPPES, Aug 2026
1053120592
Legal name
Prime Light Health Services
Entity
Type 2 · organization
Primary taxonomy
Occupational Therapist 225X00000X
Practice location
1319 WOODBRIDGE STATION WAY STE 101, Edgewood, MD 21040
Phone
000-000-0000
Enumerated
Dec 30, 2024
Record updated
Oct 29, 2025
Authorized official
Cota/L (title as filed)
Public record from the NPPES NPI Registry (open it on CMS). An NPI identifies who bills; it is not a facility license.

The other 2 Edgewood NPIs

  1. Prime Light Health Services1319 WOODBRIDGE STATION WAY STE 100-101 · issued Aug 27, 20251649159500
  2. Prime Light Health Services1319 WOODBRIDGE STATION WAY STE 101 · issued Aug 27, 20251609755578

6 clinicians CMS lists with Prime Light Health Services in Edgewood

  1. Olugbolahan AnifowoseGeriatric Physical Therapist1740715168
  2. Maria Mikaela Borja, OTR/LOccupational Therapist1013503325
  3. Dustin Hamoy, DPTPhysical Therapist1922237320
  4. Benjamin Ilagan, PTPhysical Therapist1538433669
  5. Ibrahim Kuteyi, OTR/LOccupational Therapist1205252194
  6. Mark Wright, PTPhysical Therapist1285961938

Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.

All 3 Prime Light Health Services NPIs

Every location registered under this name, in 1 city.

See every location

Checking an organization

  1. Confirm the business with the Maryland secretary of state.
  2. Check the HHS-OIG exclusion list for the organization.
  3. Verify each clinician on their own record and the state license search.

All taxonomies on this record

  • 225100000X Physical Therapist
  • 225X00000X Occupational Therapist
  • 235Z00000X Speech-Language Pathologist

Common questions

Is an organization NPI a license?

No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.

Which Edgewood NPI should I use?

Ask the office which NPI it bills under; all 3 Edgewood NPIs are registered under the same name.

Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.