Mypt

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MYPT

Practice address

3691 Park Ave
Ellicott City, MD 21043-4783

Phone

(630) 795-9111

NPI assigned

Jun 15, 2022

Last updated

Sep 13, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chinwe Okoro, DPTNPI 1235673344

Title

Physical Therapist

Phone

(630) 795-9111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chinwe Okoro

  • Physical Therapist
  • Ashland, KY
  • NPI 1235673344

  MD

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1265162861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 KELFIELD DR",
            "city": "HALETHORPE",
            "state": "MD",
            "postal_code": "212273852",
            "telephone_number": "630-795-9111",
            "fax_number": "240-540-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3691 PARK AVE",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434783",
            "telephone_number": "630-795-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "OKORO",
        "authorized_official_first_name": "CHINWE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "630-795-9111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nausheen Mushtaq, MS SLP
• My Ellicott City Dentist LLC
• Kelley Lynn Myers, FNP
• Myeyedr Optometry of Maryland, LLC (MyEyeDr.)
• Debra Jay Myhand
• Wafa Nachifa
• Howard S Nachman, O.D.
• Sundus Nada
• Arramraju Nagaraju, M.D.
• Rosemarie Nagel, CRNP

• Physical Therapist in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.