Individual provider Active NPI

Ogechi Nwaneri, PT, DPT

  • Physical Therapist
  • Purchase, NY
National Provider Identifier
1235503640
Registry record updated Nov 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
039652 Issued in NY
Practice address
3010 Westchester Ave
Suite 107
Purchase, NY 10577-2535
Phone
(914) 328-3888
Fax
(914) 328-2228
NPI assigned
Nov 23, 2015
Last updated
Nov 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2015

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 039652 NY Primary

Addresses

Primary practice location

3010 Westchester Ave
Suite 107
Purchase, NY 10577-2535

Mailing address

3010 Westchester Ave
Suite 107
Purchase, NY 10577-2535
Phone (914) 328-3888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160107000279 NY Practitioner - Physical Therapist in Private Practice 2961704002 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
New York University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Miccass Physical Therapy PCGroup PAC ID 8527100858, 10 clinicians

Practice addresses (Care Compare)

246 Columbus Ave
New York, NY 10023-3331
Phone (212) 595-4500

Merit-based Incentive Payment System (MIPS)

Final score
87.87 of 100Reported as group
Quality
88.31
Improvement activities
40
Cost
69.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
039652NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Jun 20, 2022 Accepting new patients
New York Luna Care Physical Therapy PLLC Physical Therapist CurrentSince Jun 20, 2022 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist Current Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Jun 20, 2022 Accepting new patients
Stern at Home Physical Therapy PC Physical Therapist CurrentSince Jan 6, 2019 Accepting new patients
Miccass Physical Therapy, P.C. CurrentSince Dec 11, 2017 Accepting new patients

Locations

123 Grove Ave
Cedarhurst, NY 11516
Phone (516) 374-4248

121 Broadhollow Rd
Melville, NY 11747
Phone (631) 354-5600

576 Broadhollow Rd
Melville, NY 11747

246 Columbus Ave
#C
New York, NY 10023
Phone (212) 595-4500

1 Blue Hill Plz
Ste 1509
Pearl River, NY 10965
Phone (201) 914-0063

4 Medical Park Dr
Pomona, NY 10970
Phone (845) 354-6225

4 Medical Park Dr
Ste B
Pomona, NY 10970
Phone (845) 354-3131

2142 Utopia Pkwy
Whitestone, NY 11357
Phone (718) 767-0610

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448236800000",
    "number": "1235503640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 WESTCHESTER AVE",
            "address_2": "SUITE 107",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105772535",
            "telephone_number": "914-328-3888",
            "fax_number": "914-328-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 WESTCHESTER AVE",
            "address_2": "SUITE 107",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105772535",
            "telephone_number": "914-328-3888",
            "fax_number": "914-328-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWANERI",
        "first_name": "OGECHI",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-23",
        "last_updated": "2015-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "039652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Purchase, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; 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.