Individual provider Active NPI

Patience Grace Nduka, PT

  • Physical Therapist
  • Greenbelt, MD
National Provider Identifier
1114152485
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
22871 Issued in MD
Practice address
7500 Hanover Pkwy
Ste, 103
Greenbelt, MD 20770
Phone
(301) 446-1644
Fax
(301) 446-1647
NPI assigned
May 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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 22871 MD Primary

Addresses

Primary practice location

7500 Hanover Pkwy
Ste, 103
Greenbelt, MD 20770

Mailing address

17902 Georgia Ave
Ste 220
Olney, MD 20832
Phone (240) 774-0222

Other names 1

  • Patience Nduka, Onuoha Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210301000821 DC Practitioner - Physical Therapist in Private Practice 0840606737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mosaddegh Physical Therapy IncGroup PAC ID 5698952422, 9 clinicians

Practice addresses (Care Compare)

9801 Georgia Ave
Suite 339
Silver Spring, MD 20902-5276
Phone (301) 774-1789

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22871MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaddegh Physical Therapy Inc. Physical Therapist CurrentSince Aug 7, 2022 Accepting new patients
Mosaddegh Physical Therapy Inc Physical Therapist CurrentSince Feb 12, 2021 Accepting new patients
Mosaddegh Physical Therapy Inc. Physical Therapist Past Accepting new patients

Locations

6915 Laurel Bowie Rd
Ste 100
Bowie, MD 20715
Phone (240) 245-4245

7500 Hanover Pkwy
Ste 103
Greenbelt, MD 20770
Phone (301) 446-1644

17902 Georgia Ave
Ste 220
Olney, MD 20832

9801 Georgia Ave
Ste 339
Wheaton, MD 20902
Phone (301) 962-3500

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1242345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1114152485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17902 GEORGIA AVE",
            "address_2": "STE 220",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "20832",
            "telephone_number": "240-774-0222",
            "fax_number": "240-774-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 HANOVER PKWY",
            "address_2": "STE, 103",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "20770",
            "telephone_number": "301-446-1644",
            "fax_number": "301-446-1647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDUKA",
        "first_name": "PATIENCE",
        "middle_name": "GRACE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-15",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "22871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATIENCE",
            "last_name": "NDUKA, ONUOHA",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.