Individual provider Active NPI

Ekop S Udofia, PT, DPT

  • Physical Therapist
  • Chandler, AZ
National Provider Identifier
1376848291
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8424 Issued in AZ
Practice address
5231 S Bradshaw PL
Chandler, AZ 85249-5277
Phone
(602) 736-7814
NPI assigned
Jan 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 8424 AZ
Physical Therapist 225100000X 8424 AZ Primary

Addresses

Primary practice location

5231 S Bradshaw PL
Chandler, AZ 85249-5277

Mailing address

PO Box 11626
Chandler, AZ 85248-0011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8424AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Green Plus Physical Therapy and Wellness LLC Current Accepting new patients
Zenox Physical Therapy and Wellness LLC Current Accepting new patients
BHSM Rehabilitation, LLC Past Accepting new patients
SJ&J Spine and Pain Group Past Accepting new patients
BHSM Rehabilitation, LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1295913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1376848291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11626",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852480011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5231 S BRADSHAW PL",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495277",
            "telephone_number": "602-736-7814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDOFIA",
        "first_name": "EKOP",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-25",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "AZ",
            "license": "8424",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "8424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.