Individual provider Active NPI

Evans Oppong-Mensah, PTA

  • Physical Therapy Assistant
  • Fort Worth, TX
National Provider Identifier
1477035293
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2073157 Issued in TX
Practice address
424 S Adams St
Fort Worth, TX 76104-1003
Phone
(817) 335-5781
NPI assigned
Aug 29, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2073157 TX Primary

Addresses

Primary practice location

424 S Adams St
Fort Worth, TX 76104-1003

Mailing address

8501 Easton LN Apt 418
Fort Worth, TX 76120-2748
Phone (210) 501-4054

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

LicenseStateTypeSpecialty
2073157TXMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vistacare Homehealth Solutions, LLC Current 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.

NPI Registry JSON

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1477035293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 EASTON LN APT 418",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761202748",
            "telephone_number": "210-501-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 S ADAMS ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761041003",
            "telephone_number": "817-335-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPPONG-MENSAH",
        "first_name": "EVANS",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2073157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.