Chukwunonso Jideofor Azikiwe

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2078690 Issued in TX

Practice address

407 W. State Hwy 495
San Juan, TX 78589

Phone

(956) 383-1111

NPI assigned

Oct 4, 2010

Last updated

Oct 4, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Reset Home Health Agency LLC

  • Home Health Agency
  • McAllen, TX
  • NPI 1124794714
  NPD Authorized official

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286150400000",
    "number": "1598074932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 E 59TH ST FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112341302",
            "telephone_number": "347-527-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 W. STATE HWY 495",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "78589",
            "telephone_number": "956-383-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZIKIWE",
        "first_name": "CHUKWUNONSO",
        "middle_name": "JIDEOFOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-04",
        "last_updated": "2010-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2078690",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "007490-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arbe Professional Services of Texas Series, LLC (Evolving Steps Counseling)
• Julio Enrique Arias Viaud, M.D.
• At Your Service Primary Home Care, LLC.
• Yuritzy Alexandra Avila Charles
• Naylea Ayala
• Azuart DME LLC
• Baca Family Practice PLLC
• Americo M Baca, M.D.
• Thomas Boake Ball
• Carlos Eduardo Ballesteros, M.D.

• Physical Therapy Assistant in San Juan, TX
• Providers in San Juan, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; 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.