Ijeoma Rophina Ebereonwu, D.PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

20251 Issued in MD

Practice address

2 Brantwood CT
Nottingham, MD 21236-7941

Phone

(410) 882-6198

NPI assigned

Apr 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other names 1

• Mrs. Ijeoma Rophina Iwumune Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1194940833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BRANTWOOD CT",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212367941",
            "telephone_number": "410-882-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BRANTWOOD CT",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212367941",
            "telephone_number": "410-882-6198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBEREONWU",
        "first_name": "IJEOMA",
        "middle_name": "ROPHINA",
        "name_prefix": "Ms.",
        "credential": "D.PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "MD",
            "license": "20251",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MD",
            "license": "20251",
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "MD",
            "license": "20251",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "20251",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "20251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "i.ebereonwu@d.intervention.org",
            "affiliation": "N",
            "endpointDescription": "direct address for the exchange of healthcare information with D'Intervention Therapy Services LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2 Brantwood Ct",
            "city": "Nottingham",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212367941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "IJEOMA",
            "last_name": "IWUMUNE",
            "middle_name": "ROPHINA",
            "prefix": "MRS.",
            "credential": "D.PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karen Marie Dunlap, O.D.
• Laurarose Dunn-O'Farrell, PA-C
• Holly Dunn
• Kristin Dawn Duryea, PT
• Sudhir K Dutta, M.D.
• Lauryn Edmonds
• Sharnetta Annette Edmonds
• Kelly R Edmondson, CNP, R.N.
• Dynasty Eggleston
• Uchenna P Ekwunazu, PHARMD

• Physical Therapist in Nottingham, MD
• Providers in Nottingham, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.