Active NPI
Chiegeonu Patricia Udeh, PT, DPT
- Physical Therapist
- League City, TX
National Provider Identifier
1104398296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1289802
- Practice address
- 2620 W Walker St
League City, TX 77573-6812 - Phone
- (281) 309-5400
- NPI assigned
- Dec 30, 2018
- 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 | 1289802 | TX | Primary |
Addresses
Primary practice location
2620 W Walker St
League City, TX 77573-6812
Mailing address
2620 W Walker St
League City, TX 77573-6812
Phone (281) 309-5400
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1289802 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hills Rehab Services LLC | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Manvel, TX
- NPI 1124693197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546128000000",
"number": "1104398296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 W WALKER ST",
"city": "LEAGUE CITY",
"state": "TX",
"postal_code": "775736812",
"telephone_number": "281-309-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 W WALKER ST",
"city": "LEAGUE CITY",
"state": "TX",
"postal_code": "775736812",
"telephone_number": "281-309-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UDEH",
"first_name": "CHIEGEONU",
"middle_name": "PATRICIA",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-30",
"last_updated": "2018-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1289802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in League City, TX
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- TX Southern Dental PC (Bay Area Dental Center)
- TX Southern Dental PPO PC (Bay Area Dental Center)
- Jennifer Tyler, DPT
- Joycee L Tyler, RBT
- Constance Kay Ulery, LPC
- Sarah K Unertl, LPC-A
- Robert Paul Unger, DC
- Universal Health Solutions
- University of Texas MD Anderson Cancer Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.