Active NPI
Susan Ukpeyene Ogwu
- Physical Therapist
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 9512 Harford Rd Ste 3
Baltimore, MD 21234-3127 - Phone
- (410) 882-3010
- NPI assigned
- May 14, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | TX | Primary |
Addresses
Primary practice location
9512 Harford Rd Ste 3
Baltimore, MD 21234-3127
Mailing address
2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Phone (866) 370-8206
Other practice location 1
2360 W Camp Wisdom Rd Ste 140
Grand Prairie, TX 75052-2216
Phone (469) 460-6683
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, MD
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2250 E Palm Valley Blvd
Suite 205
Round Rock, TX 78665-4534
Phone (512) 975-7199
9512 Harford Rd
Suite 3
Baltimore, MD 21234-3127
Phone (410) 882-3010
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ati Holdings, LLC | Physical Therapist | Current | Accepting new patients |
| Ideal Physical Therapy of Texas LLC | Current | Accepting new patients | |
| Ati Holdings, LLC | Physical Therapist | Current | Accepting new patients |
| Ideal Physical Therapy of Texas LLC | Physical Therapist | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515
1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619
9512 Harford Rd
Ste 3
Parkville, MD 21234
Phone (410) 882-3010
52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100
17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561
4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325
379 E FM 1382
Ste 100
Cedar Hill, TX 75104
Phone (972) 460-4490
106 N Denton Tap Rd
Ste 220
Coppell, TX 75019
Phone (469) 528-6437
607 S Cedar Ridge Dr
Unit 102
Duncanville, TX 75137
Phone (214) 742-8560
2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462
1215 W Pioneer Pkwy
Ste 200
Grand Prairie, TX 75051
Phone (972) 400-4752
2360 W Camp Wisdom Rd
Ste 140
Grand Prairie, TX 75052
Phone (469) 460-6683
6420 N MacArthur Blvd
Ste 130
Irving, TX 75039
Phone (972) 402-8300
2250 E Palm Valley Blvd
Ste 205
Round Rock, TX 78665
Phone (512) 975-7199
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.
-
- Physical Therapist
- Plano, TX
- NPI 1538573746
-
- Physical Therapist
- Austin, TX
- NPI 1477220861
-
- Durable Medical Equipment & Medical Supplies
- King of Prussia, PA
- NPI 1750194460
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Murphy, TX
- NPI 1902773161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745366400000",
"number": "1386493286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 BUTTERFIELD RD STE 1600",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151211",
"telephone_number": "866-370-8206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9512 HARFORD RD STE 3",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212343127",
"telephone_number": "410-882-3010"
}
],
"practiceLocations": [
{
"address_1": "2360 W Camp Wisdom Rd Ste 140",
"address_purpose": "LOCATION",
"city": "Grand Prairie",
"state": "TX",
"postal_code": "750522216",
"country_code": "US",
"telephone_number": "469-460-6683",
"fax_number": "469-348-2396",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OGWU",
"first_name": "SUSAN",
"middle_name": "UKPEYENE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-14",
"last_updated": "2025-04-23",
"certification_date": "2025-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.