Individual provider Active NPI

Chidozie C Nwankwo, DPT, PT

  • Physical Therapist
  • Dallas, TX
National Provider Identifier
1205780897
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1408031 Issued in TX
Practice address
3690 W Wheatland Rd Ste 100
Dallas, TX 75237-3464
Phone
(972) 296-6645
Fax
(972) 296-4526
NPI assigned
Feb 23, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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 1408031 TX Primary

Addresses

Primary practice location

3690 W Wheatland Rd Ste 100
Dallas, TX 75237-3464

Mailing address

3824 S Carrier Pkwy Ste 490
Grand Prairie, TX 75052-6668
Phone (972) 296-6645

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260316004031 TX Practitioner - Physical Therapist in Private Practice 9537642731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crossroads Physical Therapy Limited PartnershipGroup PAC ID 1052229846, 10 clinicians

Practice addresses (Care Compare)

3690 W Wheatland Rd
100 Green Oaks Physical Therapy
Dallas, TX 75237-3462
Phone (972) 296-6645

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1408031TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Physical Therapy Limited Partnership Physical Therapist CurrentSince Feb 24, 2026 Accepting new patients
Crossroads Physical Therapy Limited Partnership Physical Therapist CurrentSince Feb 24, 2026 Accepting new patients

Locations

3690 W Wheatland Rd
Ste 100
Dallas, TX 75237
Phone (972) 296-6645

3824 S Carrier Pkwy
Ste 490
Grand Prairie, TX 75052
Phone (972) 262-9972

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": "1771804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1205780897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 S CARRIER PKWY STE 490",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750526668",
            "telephone_number": "972-296-6645",
            "fax_number": "972-296-4526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3690 W WHEATLAND RD STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373464",
            "telephone_number": "972-296-6645",
            "fax_number": "972-296-4526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWANKWO",
        "first_name": "CHIDOZIE",
        "middle_name": "C",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-23",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1408031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; 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.