Richard Wayne Ezernack, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1185610 Issued in TX

Practice address

22513 Tomball Pkwy
Suite 113
Houston, TX 77070-1540

Phone

(281) 379-2345

Fax

(281) 379-1276

NPI assigned

Nov 11, 2008

Last updated

Nov 15, 2011By 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)

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.

• Chambers Outpatient Rehab Services, LLC

  dba Kinetic Physical Therapy Associates

  • Physical Therapist
  • Mount Pleasant, TX
  • NPI 1356538136
  NPD (past)
• Livewell Physical Therapy Limited Partnership

  • Physical Therapist
  • Beaumont, TX
  • NPI 1518108323
  NPD (past)
• Performancepro Sports Medicine and Rehabilitation

  • Durable Medical Equipment & Medical Supplies
  • Tyler, TX
  • NPI 1063663227
  NPD (past)
• Star Therapy Centers Limited Partnership

  dba Star Therapy Services of Cy-Fair

  • Physical Therapist
  • Houston, TX
  • NPI 1982781886
  NPD (past)

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1740434117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22513 TOMBALL PKWY",
            "address_2": "SUITE 113",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770701540",
            "telephone_number": "281-379-2345",
            "fax_number": "281-379-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22513 TOMBALL PKWY",
            "address_2": "SUITE 113",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770701540",
            "telephone_number": "281-379-2345",
            "fax_number": "281-379-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZERNACK",
        "first_name": "RICHARD",
        "middle_name": "WAYNE",
        "name_prefix": "Prof.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-11",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "06488",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1185610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benedicta Ezenwenyi, PMHNP
• Vidah Ifeoma Ezeoka
• Tristan Ezeoke, PT, DPT
• Uzoamaka Ezeokeke
• Lenore Ruth Ezernack, DDS
• Chinonso Bright Ezeudu
• Nathalie Ezeudu, FNP
• Nnedimma Alice Ezeudu
• Lynda Ezeze, NP
• Ogechukwu Anulika Ezigboh, CRNA

• Physical Therapist in Houston, TX
• Providers in Houston, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.