Stephen Ndukwe, PTA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

5502001943 Issued in MI

Practice address

3999 Venoy Rd
Wayne, MI 48184-1485

Phone

(734) 727-0440

NPI assigned

May 15, 2019

Sex

Male

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)

Not 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 and National Provider Directory roles.

• Better U Homes Inc

  • In Home Supportive Care Agency
  • Inkster, MI
  • NPI 1144095274
  NPD Authorized official
• Exl Logistics LLC

  • Foster Care Agency
  • Van Buren TWP, MI
  • NPI 1487429056
  NPD Authorized official

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1417513409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6471 ANNA DR",
            "city": "VAN BUREN TWP",
            "state": "MI",
            "postal_code": "481115254",
            "telephone_number": "734-837-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3999 VENOY RD",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841485",
            "telephone_number": "734-727-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDUKWE",
        "first_name": "STEPHEN",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-15",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "5502001943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Musk, BS
• Sue Mys, LBSW,QIDP
• Mansoor G Naini, M.D
• Zainab Nasser
• Hanan Nassif
• Kimberly Neidhart
• Mary Neph, OT
• Neuro Net Care PLLC
• Margaret Neve, SLP
• Paul Newman, LMSW

• Physical Medicine & Rehabilitation Physician in Wayne, MI
• Providers in Wayne, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; 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.