Active NPI
Okezie Chimuanya Onuoha, PT, DPT
- Physical Therapist
- Stockbridge, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT013651
- Practice address
- 1240 Eagle Lndng Pkwy Ste 300
Stockbridge, GA 30281-5173 - Phone
- (770) 506-4350
- NPI assigned
- Aug 15, 2016
- Last updated
- Oct 25, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 26412 | MD | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 626156 | DC | |
| Physical Therapist | 225100000X | PT013651 | GA | Primary |
Addresses
Primary practice location
1240 Eagle Lndng Pkwy Ste 300
Stockbridge, GA 30281-5173
Mailing address
900 Circle 75 Pkwy SE Ste 1700
Atlanta, GA 30339-3087
Phone (678) 996-7230
Other practice location 1
930 E Swan Creek Rd
Ft Washington, MD 20744-5250
Phone (301) 292-9400
Other practice location 2
7130 Mount Zion Blvd Ste 9
Jonesboro, GA 30236-2566
Phone (770) 603-5660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
918 Dailey Mill Rd
McDonough, GA 30253-5469
Phone (678) 532-7754
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26412 | MD | MD | Physical Therapist |
| 626156 | DC | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Expert Doctors of Physical Therapy | Physical Therapist | Current | Accepting new patients |
Locations
255 Racetrack Rd
McDonough, GA 30252
Phone (478) 696-2028
918 Dailey Mill Rd
McDonough, GA 30253
Phone (678) 532-7754
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.
-
dba Total Athlete Sports Medicine
- Physical Therapy Clinic/Center
- McDonough, GA
- NPI 1669196440
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540425600000",
"number": "1609320001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 CIRCLE 75 PKWY SE STE 1700",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303393087",
"telephone_number": "678-996-7230",
"fax_number": "708-180-3527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 EAGLE LNDNG PKWY STE 300",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302815173",
"telephone_number": "770-506-4350"
}
],
"practiceLocations": [
{
"address_1": "930 E Swan Creek Rd",
"address_purpose": "LOCATION",
"city": "Ft Washington",
"state": "MD",
"postal_code": "207445250",
"country_code": "US",
"telephone_number": "301-292-9400",
"fax_number": "301-292-9404",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7130 Mount Zion Blvd Ste 9",
"address_purpose": "LOCATION",
"city": "Jonesboro",
"state": "GA",
"postal_code": "302362566",
"country_code": "US",
"telephone_number": "770-603-5660",
"fax_number": "770-603-6779",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ONUOHA",
"first_name": "OKEZIE",
"middle_name": "CHIMUANYA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-15",
"last_updated": "2018-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "26412",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "DC",
"license": "626156",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT013651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockbridge, GA
- Oluwakemi Abisoye Olorunfemi, PHARMACIST
- Andrew Oluata, C-AA
- Kira Elizabeth Olugebefola, MD
- Chiazom C Omeruah, D.O.
- One World Medical, LLC
- Obioma N. Onwuka
- Onyx Imaging, LLC
- Open MRI and CT Specialists of Stockbridge
- Open MRI of Georgia, Inc (MRI & Imaging of Southcrest)
- Open MRI of Georgia, Inc (MRI & Imaging of Stockbridge)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; 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.