Individual provider Active NPI

Foluke Ajanaku-Udeh

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1083010334
Registry record updated Nov 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1152653 Issued in TX
Practice address
6300 Westpark Dr
Ste 212
Houston, TX 77057-7205
Phone
(713) 339-2273
Fax
(713) 339-1130
NPI assigned
Nov 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1152653 TX Primary

Addresses

Primary practice location

6300 Westpark Dr
Ste 212
Houston, TX 77057-7205

Mailing address

6300 Westpark Dr
Ste 212
Houston, TX 77057-7205
Phone (713) 339-2273

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Employment and Assistive Management Corp Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1415923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415923200000",
    "number": "1083010334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 WESTPARK DR",
            "address_2": "STE 212",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770577205",
            "telephone_number": "713-339-2273",
            "fax_number": "713-339-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 WESTPARK DR",
            "address_2": "STE 212",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770577205",
            "telephone_number": "713-339-2273",
            "fax_number": "713-339-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJANAKU-UDEH",
        "first_name": "FOLUKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-14",
        "last_updated": "2014-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1152653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.