Henry Chukwudi Ebem, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1166630 Issued in TX

Practice address

3218 E Martin Luther King Jr Blvd Ste 102
Austin, TX 78721-1054

Phone

(512) 472-2020

Fax

(512) 472-2021

NPI assigned

Nov 26, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• A-Prime Medical Home Health Inc.

  • Home Health Agency
  • Manor, TX
  • NPI 1902032857
  NPD (past)
• Citicardiaccare P.C.

  • Cardiovascular Disease Physician
  • Jamaica, NY
  • NPI 1467545509
  NPD (past)
• Lovingcare Diabetes Program @ Albright Medical

  • Metabolic Nutrition Registered Dietitian
  • Saint Albans, NY
  • NPI 1295071850
  NPD (past)

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251072000000",
    "number": "1275714750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 SETTLERS PARK LOOP",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786654669",
            "telephone_number": "512-552-7799",
            "fax_number": "512-472-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3218 E MARTIN LUTHER KING JR BLVD STE 102",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787211054",
            "telephone_number": "512-472-2020",
            "fax_number": "512-472-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBEM",
        "first_name": "HENRY",
        "middle_name": "CHUKWUDI",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-26",
        "last_updated": "2009-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1166630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193315201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aileen A. Ebadat, M.D.
• Laura Ebady, PSYD, CGP
• Michael J Ebbinghaus II, LPC
• Mary Kay Ebeier Ebeier Osborn, DC DOCTOR OF CHIROPR
• Jessica Ebel, LPC
• Luke Carl Eberhard, PHYSICIAN ASSISTANT
• Jon Eberle, D.C.
• Mary Eberlein
• Andrew Marshall Ebert, MD
• Erin K. Ebert

• Physical Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.