Individual provider Active NPI

Ucha C Ukpai, DPT

  • Physical Therapist
  • Hollywood, FL
National Provider Identifier
1770861312
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT28979 Issued in FL
Practice address
9850 Stirling Rd Ste 100
Hollywood, FL 33024-8068
Phone
(954) 709-1192
NPI assigned
Aug 1, 2011
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT28979 FL Primary
Orthopedic Physical Therapist 2251X0800X 28979 FL

Addresses

Primary practice location

9850 Stirling Rd Ste 100
Hollywood, FL 33024-8068

Mailing address

5837 NW 56TH Dr
Coral Springs, FL 33067-3542
Phone (954) 736-7427

Other practice location 1

5030 Champion Blvd
Suite D9
Boca Raton, FL 33496-2473
Phone (561) 432-0111

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
28979FLMDOphthalmology Physician
PT28979FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gold Coast Physical Therapy Associates LLC Physical Therapist Past Accepting new patients

Networks

  • Freedom Health HMO Network

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": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1770861312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5837 NW 56TH DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330673542",
            "telephone_number": "954-736-7427",
            "fax_number": "954-706-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 STIRLING RD STE 100",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330248068",
            "telephone_number": "954-709-1192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5030 Champion Blvd",
            "address_2": "Suite D9",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334962473",
            "country_code": "US",
            "telephone_number": "561-432-0111",
            "fax_number": "561-432-1075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UKPAI",
        "first_name": "UCHA",
        "middle_name": "C",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT28979",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "28979",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

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