Petra Chiamaka Ihezie, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1342062 Issued in TX

Practice address

2300 Pool Rd Apt 224
Grapevine, TX 76051-4260

Phone

(833) 655-2840

NPI assigned

Mar 23, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

BCT Therapy Management LLCGroup PAC ID 6305202771, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.et1041.epichosted.com/FHIRProxy/api/FHIR/R4/

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.

• BCT Therapy Management LLC

  • Physical Therapy Clinic/Center
  • Colleyville, TX
  • NPI 1538878038

  TX

  Medicare reassignment Care Compare group NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Richardson, TX
  • NPI 1972288728
  Medicare reassignment NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Plano, TX
  • NPI 1144905993
  NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Indian Harbour Beach, FL
  • NPI 1932072030
  NPD
• Bir JV LLP

  • Rehabilitation Hospital
  • Dallas, TX
  • NPI 1538465901
  NPD (past)
• Dallas Nephrology Associates

  • Ambulatory Surgical Clinic/Center
  • Dallas, TX
  • NPI 1053634030
  NPD (past)
• Adaptive Rehabilitation Clinics, LLC

  • Physical Therapist
  • Niles, OH
  • NPI 1568085579
  NPD (past)

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1164008702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 POOL RD STE ONR 224",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760514254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 POOL RD APT 224",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760514260",
            "telephone_number": "833-655-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IHEZIE",
        "first_name": "PETRA",
        "middle_name": "CHIAMAKA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1342062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allyson Hunter, PT, DPT
• David K Hunter, DDS
• Huned Muzaffer Husain, M.D.
• Fatemah Hussain, PHARMD
• James Hwang
• Infant Resources
• Inner Health Institute, LLC
• Inner Health Institute, LLC
• Inner Revolution, PLLC
• Innovative Aging Concepts LLC

• All providers in Grapevine, TX
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.