Active NPI
Emmanuel Aghoghovwia Mukoro, PTA
- Physical Therapist
- Sugar Land, TX
National Provider Identifier
1063971588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 4771 Sweetwater Blvd
Suite 179
Sugar Land, TX 77479 - Phone
- (281) 265-5359
- NPI assigned
- Mar 14, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
4771 Sweetwater Blvd
Suite 179
Sugar Land, TX 77479
Mailing address
931 Windy Garden Way
Richmond, TX 77406-7218
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552521600000",
"number": "1063971588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "931 WINDY GARDEN WAY",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774067218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4771 SWEETWATER BLVD",
"address_2": "SUITE 179",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "77479",
"telephone_number": "281-265-5359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUKORO",
"first_name": "EMMANUEL",
"middle_name": "AGHOGHOVWIA",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-14",
"last_updated": "2019-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.