Paul L Ezeukwu, MSPT

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT018485 Issued in PA

Practice address

2701 Southampton Rd
Philadelphia, PA 19154-1205

Phone

(215) 965-0326

Fax

(215) 965-0377

NPI assigned

Feb 28, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Paul L Bello Former name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Sky Medical and Rehabilitation LLC

  • Physical Medicine & Rehabilitation Physician
  • Philadelphia, PA
  • NPI 1285502492
  Medicare reassignment NPD Authorized official
• Lyceum Longevity Center PLLC

  • Specialist
  • Philadelphia, PA
  • NPI 1831666585
  Medicare reassignment NPD
• Lyceum Chiropractic, P.C.

  • Chiropractor
  • Philadelphia, PA
  • NPI 1447416250
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326175936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 SOUTHAMPTON RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191541205",
            "telephone_number": "215-965-0326",
            "fax_number": "215-965-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 SOUTHAMPTON RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191541205",
            "telephone_number": "215-965-0326",
            "fax_number": "215-965-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZEUKWU",
        "first_name": "PAUL",
        "middle_name": "L",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "PT018485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAUL",
            "last_name": "BELLO",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Diane R Ezekoye, CRNP
• Nnenna Ezem, M.S.ED, M.PHIL.ED
• Chinonso Ezendokwere
• Chidozie Nnamdi Ezenekwe, PHARMD
• Chineme Lois Ezenekwe, RPH
• Celia Ezidiegwu, MD
• Daniel Raymond Ezzo, MD
• Fa5 Associates LLC (Navy Yard Dental Associates)
• Elizabeth Fabens, MD
• Jillian Paige Faber

• Specialist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.