Benedicta Ohiani-Jegede

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05005347A Issued in IN

Practice address

2015 Elkington Cir
Conroe, TX 77304-1886

Phone

(219) 644-6327

NPI assigned

Apr 17, 2008

Last updated

Jun 30, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Bethel Rehabilitation Services LLC

  • Physical Therapist
  • Merrillville, IN
  • NPI 1184714594
  NPD (past) Authorized official

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1356515621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 ELKINGTON CIR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773041886",
            "telephone_number": "219-644-6327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 ELKINGTON CIR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773041886",
            "telephone_number": "219-644-6327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHIANI-JEGEDE",
        "first_name": "BENEDICTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-17",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05005347A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis Odom
• Akinwunmi Odusola
• Lydia Oelschlaeger, RN
• David Offutt, DDS
• Yemisi Oyekemi Oguntuwase, MS, RD, LD
• Oladele Ojo
• Omowunmi Oluwatosin Ojo, LPN
• Dorothy Nyakerario Okioma
• Michael Ebhota Okogbo, MD
• Obioma Okorafor

• Physical Therapist in Conroe, TX
• Providers in Conroe, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.