Individual provider Active NPI

Ujunwa Mercy Chibueze, PT

  • Physical Therapist
  • Hillsboro, OR
National Provider Identifier
1104495068
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
64080 Issued in OR
Practice address
1078 SE Tamora Ave
Hillsboro, OR 97123-4753
Phone
(503) 438-5981
NPI assigned
Jun 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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 64080 OR Primary

Addresses

Primary practice location

1078 SE Tamora Ave
Hillsboro, OR 97123-4753

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other names 1

  • Ujunwa Mercy Uche-Onwuzuruike Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210728002496 OR Practitioner - Physical Therapist in Private Practice 0840693826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Attain Physical TherapyGroup PAC ID 6305272659, 68 clinicians

Practice addresses (Care Compare)

9860 NW Cornell Rd
Portland, OR 97229-5250
Phone (855) 428-8246

Merit-based Incentive Payment System (MIPS)

Final score
85.22 of 100Reported as group
Quality
87.65
Improvement activities
40
Cost
73.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
64080ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Erhardt Physical Therapy and Sports Medicine, LLC Physical Therapist CurrentSince Jul 19, 2021 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

11709 SW Beaverton Hillsdale Hwy
Ste B6
Beaverton, OR 97005
Phone (971) 327-4906

735 SW 158th Ave
Ste 160
Beaverton, OR 97006
Phone (503) 597-0035

3322 N Vancouver Ave
Portland, OR 97227
Phone (503) 200-6650

3322 N Vancouver Ave
Portland, OR 97227

51385 SW Old Portland Rd
Scappoose, OR 97056
Phone (503) 543-7768

Organizations & group practices 2

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": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1104495068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1078 SE TAMORA AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234753",
            "telephone_number": "503-438-5981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIBUEZE",
        "first_name": "UJUNWA",
        "middle_name": "MERCY",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "64080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "UJUNWA",
            "last_name": "UCHE-ONWUZURUIKE",
            "middle_name": "MERCY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.