Individual provider Active NPI

Nneka Onowu

  • Physical Therapist
  • Indianapolis, IN
National Provider Identifier
1689057192
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
034400-1 Issued in NY
Practice address
8902 Latitudes Dr Apt 604
Indianapolis, IN 46237-8387
Phone
(810) 210-2320
NPI assigned
Jul 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 034400-1 NY Primary

Addresses

Primary practice location

8902 Latitudes Dr Apt 604
Indianapolis, IN 46237-8387

Mailing address

8902 Latitudes Dr Apt 604
Indianapolis, IN 46237-8387
Phone (810) 210-2320

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
10667AZMDMarriage & Family Therapist
034400-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rancho Physical Therapy, Inc. Physical Therapist CurrentSince Oct 1, 2022 Accepting new patients
Highrise Premier Rehabilitation Services LLC Current Accepting new patients
Rancho Physical Therapy, Inc. Physical Therapist CurrentSince Oct 1, 2022 Accepting new patients

Locations

1280 Corona Pointe Ct
Ste 118
Corona, CA 92879
Phone (951) 304-3402

600 Central Ave
Ste C
Lake Elsinore, CA 92530

24021 Alessandro Blvd
Ste 109
Moreno Valley, CA 92553
Phone (951) 485-4594

126 Avocado Ave
Ste 107
Perris, CA 92571
Phone (951) 564-3080

6850 Brockton Ave
Ste 212
Riverside, CA 92506
Phone (951) 534-0600

Interoperability endpoints

  • Direct secure messaging: nneka.onowu.1@17371.direct.athenahealth.com

Organizations & group practices 3

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": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435708800000",
    "number": "1689057192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8902 LATITUDES DR APT 604",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378387",
            "telephone_number": "810-210-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8902 LATITUDES DR APT 604",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378387",
            "telephone_number": "810-210-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONOWU",
        "first_name": "NNEKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "034400-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.