Look up the most recent NPI and PECOS records

Fahtieema Omotosho

Speech-Language Pathologist

Speech, Language and Hearing Service Providers

1860 N Lincoln St Fl 11, Denver, CO 80203-2996

PECOS Enrollment

Based on the most recent information from CMS, provider Fahtieema Omotosho does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 1:08 PM.

Profile Details

Provider ID
1952806010
Provider Type
Individual
Full Name
Omotosho, Fahtieema
Gender
Female

Sole Proprietor
No
Enumeration Date
3/29/2018
Last Updated
2/19/2026

Contact Information

Practice Location

1860 N Lincoln St Fl 11, Denver, CO 80203-2996

(720) 423-2660

Unlisted Fax

Mailing Location

1500 S Ave K Station 3, Shroc, Portales, NM 88130

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 235Z00000X Primary	Description Speech-Language Pathologist Speech, Language and Hearing Service Providers	License 14393767 New Mexico
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License 390200000X
Code 235Z00000X	Description Speech-Language Pathologist Speech, Language and Hearing Service Providers	License 14393767 Colorado

Fahtieema Omotosho

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Thompson, Emily

Smith, Stefanie

Madani, Maha

Comte, Emma Lois

Grundei, Kelly Holly

Scott, Kathryn Elizabeth

Bartheld, Miranda

Harris, Norma Norma

Stewart, Leah Kristine

Johnson, Gabriele Elizabeth