Uche Nwambuonwo, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

LP-30713 Issued in AZ

Practice address

19420 N 59TH Ave Ste E500
Glendale, AZ 85308-6881

Phone

(623) 208-7575

NPI assigned

Jun 13, 2019

Last updated

Jun 13, 2019By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Impact Physical Therapy 3 LLCGroup PAC ID 2668988171, 7 clinicians

Impact Physical Therapy LLCGroup PAC ID 4789978735, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kbates@impactptaz.com

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.

• Impact Physical Therapy 3 LLC

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1194517359
  Medicare reassignment Care Compare group NPD
• Impact Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Peoria, AZ
  • NPI 1215319413

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Physical Medicine of Arizona, LLC

  • Physical Medicine & Rehabilitation Physician
  • Chandler, AZ
  • NPI 1740529536
  NPD

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1437719333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5428 W SAINT JOHN RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19420 N 59TH AVE STE E500",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086881",
            "telephone_number": "623-208-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWAMBUONWO",
        "first_name": "UCHE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LP-30713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbates@impactptaz.com",
            "affiliation": "N",
            "address_1": "19420 N 59th Ave Ste E500",
            "city": "Glendale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853086881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jonathan David Nunemacher, RPA
• Roberto Nunez-Villarreal
• Debbie Nina Nunley
• Nuvision Centers , PLLC
• Chinenye Nwafor, LPN
• Nicole Elizabeth Zack Nwobodo, PA-C
• Kerubo Happiness Nyachieo, PMHNP
• George Oseko Nyakundi, MSN,PMHNP-BC
• Dan Nydegger, D.D.S.
• Deric H Nye, D.O.

• Physical Therapist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.

Verify at the official NPI Registry.