Gabriel Ezechukwu Ndukwu, DPT

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

PT44171 Issued in FL

Practice address

1841 Long Iron Dr Apt 807
Rockledge, FL 32955-6602

Phone

(228) 365-8476

NPI assigned

Jul 27, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Crestcare Rehabilitation PLLC

  • Physical Therapist
  • Rockledge, FL
  • NPI 1598601825
  NPD Authorized official
• Trinity Rehabilitation Inc

  • Physical Therapist
  • Jackson, MS
  • NPI 1588759369
  NPD (past)

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1083340509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841 LONG IRON DR APT 807",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329556602",
            "telephone_number": "228-365-8476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 LONG IRON DR APT 807",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329556602",
            "telephone_number": "228-365-8476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDUKWU",
        "first_name": "GABRIEL",
        "middle_name": "EZECHUKWU",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-27",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT7279",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040194",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": "FL",
            "license": "PT44171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nabil W Aziz MD PA
• Haley Niccole Nail, LCSW
• Eduardo Inacio Nascimento Andrade, M.D
• National Cosmetic Laser Center
• Mary Elizabeth Nave, ARNP
• Dequanda Nelson, LPN
• Neolink Physicians, PA
• Ada Silvia Nepomuceno
• Neuro Healthcare LLC
• Felix E Nevarez Jr.

• Geriatric Physical Therapist in Rockledge, FL
• Providers in Rockledge, FL by specialty
• Geriatric Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.