Active NPI
Felicia Adebukonla Ofoeyeno
- Physical Therapist
- Richmond, TX
National Provider Identifier
1073562302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1165907
- Practice address
- 19807 Coreybend CT
Richmond, TX 77407-3788 - Phone
- (832) 955-4632
- NPI assigned
- May 5, 2006
- Sex
- Female
- 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 | 1165907 | TX | Primary |
Addresses
Primary practice location
19807 Coreybend CT
Richmond, TX 77407-3788
Mailing address
PO Box 833
Sugar Land, TX 77487-0833
Phone (832) 955-4632
Other practice location 1
14903 Sugar Sweet Dr
Sugar Land, TX 77478-5381
Phone (832) 768-0169
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1165907 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1073562302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 833",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774870833",
"telephone_number": "832-955-4632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19807 COREYBEND CT",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774073788",
"telephone_number": "832-955-4632"
}
],
"practiceLocations": [
{
"address_1": "14903 Sugar Sweet Dr",
"address_purpose": "LOCATION",
"city": "Sugar Land",
"state": "TX",
"postal_code": "774785381",
"country_code": "US",
"telephone_number": "832-768-0169",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OFOEYENO",
"first_name": "FELICIA",
"middle_name": "ADEBUKONLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-05",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1165907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.