Nnachebe Festus Ezechigbo

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2044477 Issued in TX

Practice address

4300 Vista Rd
Pasadena, TX 77504-2118

Phone

(713) 946-6787

NPI assigned

Oct 17, 2018

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

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1659847747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 VISTA RD",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775042118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 VISTA RD",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775042118",
            "telephone_number": "713-946-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZECHIGBO",
        "first_name": "NNACHEBE",
        "middle_name": "FESTUS",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-17",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": "2044477",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2044477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eye Physicians and Surgeons of Texas
• Eyecare Group LLC
• Eyemasters of Texas LTD
• Eyemasters of Texas, LTD
• Ayo Renee Ezeamama, MSN
• Kristen Ezeude, MD
• Robert Leo Fairchild, MD
• Fairmont Childrens PLLC
• Fairmont Diagnostic and MRI Center LLC
• Fairmont Diagnostic Center and Open MRI

• Physical Therapy Assistant in Pasadena, TX
• Providers in Pasadena, 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 17, 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.