Active NPI
Bernard Yeboah
- Physical Therapist
- Richmond, TX
National Provider Identifier
1396923512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1178609
- Practice address
- 18313 FM 1093 Rd Apt 5302
Richmond, TX 77407-3564 - Phone
- (832) 894-0107
- NPI assigned
- Feb 11, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 1178609 | TX | Primary |
Addresses
Primary practice location
18313 FM 1093 Rd Apt 5302
Richmond, TX 77407-3564
Mailing address
18313 FM 1093 Rd Apt 5302
Richmond, TX 77407-3564
Phone (832) 894-0107
Other practice location 1
21175 Southwest Fwy
Richmond, TX 77469-7104
Phone (832) 894-0107
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1178609 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chautauqua County Chapter of Nysarc Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba The Resource Center
- Long Term Care Pharmacy
- Jamestown, NY
- NPI 1427095892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704931200000",
"number": "1396923512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18313 FM 1093 RD APT 5302",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774073564",
"telephone_number": "832-894-0107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18313 FM 1093 RD APT 5302",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774073564",
"telephone_number": "832-894-0107"
}
],
"practiceLocations": [
{
"address_1": "21175 Southwest Fwy",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "TX",
"postal_code": "774697104",
"country_code": "US",
"telephone_number": "832-894-0107",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YEBOAH",
"first_name": "BERNARD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-11",
"last_updated": "2024-01-11",
"certification_date": "2024-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1178609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, TX
- Kathy Phan Yamakawa, D.D.S.
- Yamzz Medical Supplies Inc
- Qinglong Yang
- Yascarlos Clinic,LLC (Clinica Comunitaria Bendicion Y Vida)
- Charles Wilbur Yates Jr., M.D. PH.D.
- Yoseba LLC
- Danielle Young, LPC
- Laurel Paige Young, OTR
- Your Care Down There: an Online STD Clinic (Your Care Down There)
- Your Open Heavens Hospice Care Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.