Okechuku Chukwudi Ekwuabu Jr., DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12754 Issued in CT

Practice address

82 New Park Ave
North Franklin, CT 06254-1807

Phone

(860) 889-7345

NPI assigned

Sep 1, 2020

Last updated

Sep 1, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Norwich Orthopedic Group PCGroup PAC ID 6709820798, 48 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.95 of 100Reported as group

Quality

83.12

Improvement activities

40

Cost

84.36

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Norwich Orthopedic Group, P.C.

  dba Orthopedic Partners

  • Orthopaedic Surgery Physician
  • North Franklin, CT
  • NPI 1558316919

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Norwich Orthopedic Group, P.C.

  dba Orthopedic Partners

  • Orthopaedic Surgery Physician
  • Westerly, RI
  • NPI 1154032761

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1275147902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 NEW PARK AVE",
            "city": "NORTH FRANKLIN",
            "state": "CT",
            "postal_code": "062541807",
            "telephone_number": "860-889-7345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 NEW PARK AVE",
            "city": "NORTH FRANKLIN",
            "state": "CT",
            "postal_code": "062541807",
            "telephone_number": "860-889-7345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Industrial Park Rd",
            "address_purpose": "LOCATION",
            "city": "Niantic",
            "state": "CT",
            "postal_code": "063571904",
            "country_code": "US",
            "telephone_number": "860-889-7345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EKWUABU",
        "first_name": "OKECHUKU",
        "middle_name": "CHUKWUDI",
        "name_suffix": "Jr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "12754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004002358",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Welsh Depriest, PA-C
• Rosadel Diaz
• Holly Elizabeth Dreger, LCSW
• Richard E Drena, MSLADC
• Kaitlin A Dunn, DPT
• David Lawrence Farrington, PA
• Fettle and Flourishing Holistic Therapy, LLC
• Meghan Fink, PA-C, MS, ATC
• Marissa L Fleury, MS, PA-C
• Franklin Board of Education

• Physical Therapist in North Franklin, CT
• Providers in North Franklin, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.