Individual provider Active NPI

Chukwuemeka Okabuonye

  • Rehabilitation Hospital Unit
  • Sugar Land, TX
National Provider Identifier
1346793890
Registry record updated Nov 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
117650 Issued in TX
Practice address
2323 Long Reach Dr Apt 11202
Sugar Land, TX 77478-4197
Phone
(773) 430-6608
NPI assigned
Aug 2, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 117650 TX
Rehabilitation Hospital Unit 273Y00000X 117650 TX Primary

Addresses

Primary practice location

2323 Long Reach Dr Apt 11202
Sugar Land, TX 77478-4197

Mailing address

2323 Long Reach Dr Apt 11202
Sugar Land, TX 77478-4197
Phone (773) 430-6608

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241127003514 TX Practitioner - Occupational Therapist in Private Practice 8729513718 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ebezor Associates LLCGroup PAC ID 3173812435, 2 clinicians

Practice addresses (Care Compare)

920 Circle J TRL
Prosper, TX 75078-9551
Phone (972) 439-5422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
117650TXMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Epic Rehab Services LLC CurrentSince Nov 10, 2024 Accepting new patients
Ebezor Associates LLC CurrentSince Jan 13, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731196800000",
    "number": "1346793890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 LONG REACH DR APT 11202",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784197",
            "telephone_number": "773-430-6608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 LONG REACH DR APT 11202",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784197",
            "telephone_number": "773-430-6608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKABUONYE",
        "first_name": "CHUKWUEMEKA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-02",
        "last_updated": "2024-11-10",
        "certification_date": "2024-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "TX",
            "license": "117650",
            "primary": false
        },
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "TX",
            "license": "117650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2024; 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.