Individual provider Active NPI

Whitney Uchenna Ikemba, DPT

  • Physical Therapist
  • Saginaw, TX
National Provider Identifier
1346876752
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1329447 Issued in TX
Practice address
1640 Basswood Blvd
Saginaw, TX 76131-4967
Phone
(817) 502-6339
NPI assigned
Mar 17, 2020
Last updated
Aug 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1329447 TX Primary

Addresses

Primary practice location

1640 Basswood Blvd
Saginaw, TX 76131-4967

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 541-5492

Other practice location 1

204 Medical Dr Ste 160
Sherman, TX 75092-6374
Phone (903) 892-4800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210510000293 TX Practitioner - Physical Therapist in Private Practice 2264841915 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

1640 Basswood Blvd
Saginaw, TX 76131-4967
Phone (817) 502-6339

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Aug 22, 2024 Accepting new patients
Peak Physical Therapy, LLC Physical Therapist CurrentSince Apr 5, 2021 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Aug 22, 2024 Accepting new patients
Athletico LTD Physical Therapist Current Accepting new patients
Peak Physical Therapy, LLC Physical Therapist CurrentSince Apr 5, 2021 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

5615 Colleyville Blvd
Ste 130
Colleyville, TX 76034
Phone (817) 576-0995

5510 Abrams Rd
Ste 115
Dallas, TX 75214
Phone (214) 265-9700

104 E US Highway 80
Ste 180
Forney, TX 75126
Phone (972) 564-3390

125 N MacArthur Blvd
Irving, TX 75061
Phone (972) 887-3318

1640 Basswood Blvd
Saginaw, TX 76131
Phone (817) 204-1045

204 Medical Dr
Ste 160
Sherman, TX 75092
Phone (903) 892-4800

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1346876752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-541-5492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 BASSWOOD BLVD",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "761314967",
            "telephone_number": "817-502-6339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 Medical Dr Ste 160",
            "address_purpose": "LOCATION",
            "city": "Sherman",
            "state": "TX",
            "postal_code": "750926374",
            "country_code": "US",
            "telephone_number": "903-892-4800",
            "fax_number": "903-892-4444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IKEMBA",
        "first_name": "WHITNEY",
        "middle_name": "UCHENNA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-17",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1329447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.