Active NPI
Callistus Chimezie Edozie
- Physical Therapist
- Houston, TX
National Provider Identifier
1437256971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- F2794
- Practice address
- 8700 Commerce Park
Suite 249
Houston, TX 77036 - Phone
- (713) 272-8699
- Fax
- (713) 541-5699
- NPI assigned
- Sep 19, 2006
- Last updated
- Jul 8, 2007
- 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 | F2794 | TX | Primary |
Addresses
Primary practice location
8700 Commerce Park
Suite 249
Houston, TX 77036
Mailing address
8700 Commerce Park
Suite 249
Houston, TX 77036
Phone (713) 272-8699
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F2794 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flexon Healthcare Inc | Physical Therapist | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437256971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8700 COMMERCE PARK",
"address_2": "SUITE 249",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77036",
"telephone_number": "713-272-8699",
"fax_number": "713-541-5699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8700 COMMERCE PARK",
"address_2": "SUITE 249",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77036",
"telephone_number": "713-272-8699",
"fax_number": "713-541-5699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDOZIE",
"first_name": "CALLISTUS",
"middle_name": "CHIMEZIE",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "F2794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.