Ignite Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

IGNITE PHYSICAL THERAPY LLC

Practice address

2701 Little Elm Pkwy Ste 140
Little Elm, TX 75068-6681

Phone

(214) 280-1560

NPI assigned

Jul 16, 2021

Organization subpart

No

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

Authorized official

Name

Uchenna Michael Ufomadu, PT, DPT

Title

Managing Member

Phone

(214) 280-1560

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Uchenna Ufomadu, PT, DPT

  • Physical Therapist
  • Plano, TX
  • NPI 1811441538
  Medicare reassignment NPD

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626393600000",
    "number": "1346812427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 LITTLE ELM PKWY STE 140",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750686681",
            "telephone_number": "214-280-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 LITTLE ELM PKWY STE 140",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750686681",
            "telephone_number": "214-280-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGNITE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-16",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A",
        "authorized_official_last_name": "UFOMADU",
        "authorized_official_first_name": "UCHENNA",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "214-280-1560",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sussana Etarock Howard, NP
• Trevor Kyle Huber, D.O.
• Ciarra Humble, OD
• Arianna Hurt
• Brian Igbeka
• Ruth Fisher Itzstein, OTR/L
• Naklya Jackson
• Regilyn Jackson, PHARMD
• Jordan Leigh Jacobe
• Jae Ha Jung DDS PLLC

• Physical Therapist in Little Elm, TX
• Providers in Little Elm, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; 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.