Active NPI
Fortunatus Onyekwere, COTA
- Occupational Therapy Assistant
- Katy, TX
National Provider Identifier
1215517883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 216090
- Practice address
- 3527 Brackenfern Rd
Katy, TX 77449-8648 - Phone
- (713) 575-4867
- NPI assigned
- Apr 8, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 216090 | TX | Primary |
Addresses
Primary practice location
3527 Brackenfern Rd
Katy, TX 77449-8648
Mailing address
3527 Brackenfern Rd
Katy, TX 77449-8648
Phone (713) 575-4867
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 216090 | TX | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617840000000",
"number": "1215517883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3527 BRACKENFERN RD",
"city": "KATY",
"state": "TX",
"postal_code": "774498648",
"telephone_number": "713-575-4867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3527 BRACKENFERN RD",
"city": "KATY",
"state": "TX",
"postal_code": "774498648",
"telephone_number": "713-575-4867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONYEKWERE",
"first_name": "FORTUNATUS",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-08",
"last_updated": "2021-04-08",
"certification_date": "2021-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TX",
"license": "216090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.