Individual provider Active NPI

Onuwa D Terry, LPT,DPT

  • Physical Therapist
  • Mission, TX
National Provider Identifier
1760563605
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1108207 Issued in TX
Practice address
1918 E Griffin Pkwy
Mission, TX 78572-3106
Phone
(956) 583-2995
Fax
(956) 583-3595
NPI assigned
Oct 18, 2006
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1108207 TX
Physical Therapist 225100000X 1108207 TX Primary

Addresses

Primary practice location

1918 E Griffin Pkwy
Mission, TX 78572-3106

Mailing address

1616 E Griffin Pkwy PMB 184
Mission, TX 78572-3180
Phone (956) 583-2995

Other identifiers 1

IdentifierTypeStateIssuer
087750801MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100707000081 TX Practitioner - Physical Therapist in Private Practice 5395635908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Maryland School of Medicine, 1993
Medicare assignment
May accept Medicare assignment
Group practices
Terry Physical Therapy PCGroup PAC ID 7012048192, 2 clinicians

Practice addresses (Care Compare)

1918 E Griffin Pkwy
Mission, TX 78572-3106
Phone (956) 583-2995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1108207TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Terry Physical Therapy PC Physical Therapy CurrentSince Apr 9, 2010 Accepting new patients
Physiocare Therapy, PC Physical Therapist PastSince Apr 9, 2010 Accepting new patients

Locations

1616 E Griffin Pkwy
Mission, TX 78572
Phone (956) 583-2995

1918 E Griffin Pkwy
Mission, TX 78572
Phone (956) 583-2995

101 Buena Vista St
Ste A
Penitas, TX 78576
Phone (956) 766-7133

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1760563605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 E GRIFFIN PKWY PMB 184",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723180",
            "telephone_number": "956-583-2995",
            "fax_number": "956-583-3595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 E GRIFFIN PKWY",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723106",
            "telephone_number": "956-583-2995",
            "fax_number": "956-583-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "ONUWA",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "LPT,DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1108207",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1108207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "087750801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.

Verify at the official NPI Registry.