Roberto Hwang Ico, P.T.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

1035814 Issued in TX

Practice address

4601 S Loop 289
11
Lubbock, TX 79424-2208

Phone

(806) 792-7200

Fax

(806) 792-7225

NPI assigned

Sep 21, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1336248863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5715 83RD LN",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794244631",
            "telephone_number": "806-794-5329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 S LOOP 289",
            "address_2": "11",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242208",
            "telephone_number": "806-792-7200",
            "fax_number": "806-792-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ICO",
        "first_name": "ROBERTO",
        "middle_name": "HWANG",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1035814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Hydrick
• Rebecca Hyman, LPC
• John Iacuone, M.D.
• Kyshondra Ibarra
• Yasin Ibrahim
• Anceslo Idicula, MD
• Kassie Idicula, PA
• Winslo K Idicula, M.D.
• Usiakimi Igbaseimokumo, MBBS, FRCS(C), MD
• Andrew Igbokwe, DO

• Orthopedic Physical Therapist in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Orthopedic Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.