Individual provider Active NPI

Uchenna Crystal Ezinne Okenkpu, DPT

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1124693635
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1369532 Issued in TX
Practice address
12121 Richmond Ave Ste 100
Houston, TX 77082-2420
Phone
(281) 493-9966
NPI assigned
May 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X 1369532 TX Primary

Addresses

Primary practice location

12121 Richmond Ave Ste 100
Houston, TX 77082-2420

Mailing address

325 Distel Cir
Los Altos, CA 94022-1408

Other practice location 1

301 Old San Francisco Rd
Sunnyvale, CA 94086-6386
Phone (408) 523-3060

Other names 1

  • Dr. Crystal Okenkpu Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241217003630 TX Practitioner - Physical Therapist in Private Practice 2163820283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston Metro UrologyGroup PAC ID 3971508235, 31 clinicians

Practice addresses (Care Compare)

12121 Richmond Ave
Houston, TX 77082-2420
Phone (281) 493-9966

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Metro Urology CurrentSince Nov 1, 2024 Accepting new patients

Locations

6560 Fannin St
Ste 1440
Houston, TX 77030
Phone (713) 523-7843

12121 Richmond Ave
Ste 100
Houston, TX 77082
Phone (281) 493-9966

4223 Richmond Ave
Ste 200
Houston, TX 77027
Phone (713) 634-4477

4223 Richmond Ave
Houston, TX 77027
Phone (713) 351-0630

Interoperability endpoints

  • Direct secure messaging: crystal.okenkpu.1@15454.direct.athenahealth.com

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": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1124693635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 DISTEL CIR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12121 RICHMOND AVE STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822420",
            "telephone_number": "281-493-9966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Old San Francisco Rd",
            "address_purpose": "LOCATION",
            "city": "Sunnyvale",
            "state": "CA",
            "postal_code": "940866386",
            "country_code": "US",
            "telephone_number": "408-523-3060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKENKPU",
        "first_name": "UCHENNA",
        "middle_name": "CRYSTAL EZINNE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-26",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1369532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "OKENKPU",
            "prefix": "DR.",
            "credential": "DPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 18, 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.