Individual provider Active NPI

Uchenna Uzoma Ndubisi

  • Physical Therapist
  • College Park, MD
National Provider Identifier
1851641575
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP049508T Issued in PA
Practice address
4321 Hartwick Rd
Suite 101
College Park, MD 20740-3210
Phone
(301) 277-6616
Fax
(301) 277-6618
NPI assigned
Sep 11, 2012
Reactivated
Dec 2, 2025
Last updated
Dec 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 24180 MD
Physical Therapist 225100000X CP049508T PA Primary
Orthopedic Physical Therapist 2251X0800X 24180 MD

Addresses

Primary practice location

4321 Hartwick Rd
Suite 101
College Park, MD 20740-3210

Mailing address

5039 Township Line Rd
Drexel Hill, PA 19026-4847
Phone (484) 521-3660

Other practice location 1

5039 Township Line Rd
Drexel Hill, PA 19026-4847
Phone (484) 521-3660

Other practice location 2

201 National Harbor Blvd Ste 300
Oxon Hill, MD 20745-1052
Phone (301) 364-9292

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121213000286 DC Practitioner - Physical Therapist in Private Practice 7012169311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10215 Fernwood Rd
Suite 506
Bethesda, MD 20817-1184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP049508TPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bethesda Physical Therapy Physical Therapist CurrentSince Sep 14, 2020 Accepting new patients
Bethesda Chevy Chase Orthopaedic Associates, LLC CurrentSince Mar 26, 2025 Accepting new patients
Novacare Rehabilitation Physical Therapist Current Accepting new patients
Bethesda Chevy Chase Orthopaedic Associates, LLC CurrentSince Mar 26, 2025 Accepting new patients
Professional Sportscare & Rehab Associates, LLC Physical Therapist Past Accepting new patients

Locations

10215 Fernwood Rd
Ste 506
Bethesda, MD 20817
Phone (240) 482-2414

6410 Rockledge Dr
Ste 301
Bethesda, MD 20817
Phone (301) 520-3455

10901 Connecticut Ave
Ste 201
Kensington, MD 20895
Phone (240) 558-4404

5039 Township Line Rd
Drexel Hill, PA 19026
Phone (484) 521-3660

Organizations & group practices 5

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": "1347321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1851641575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5039 TOWNSHIP LINE RD",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190264847",
            "telephone_number": "484-521-3660",
            "fax_number": "484-521-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 HARTWICK RD",
            "address_2": "SUITE 101",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207403210",
            "telephone_number": "301-277-6616",
            "fax_number": "301-277-6618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5039 Township Line Rd",
            "address_purpose": "LOCATION",
            "city": "Drexel Hill",
            "state": "PA",
            "postal_code": "190264847",
            "country_code": "US",
            "telephone_number": "484-521-3660",
            "fax_number": "484-521-3661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 National Harbor Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Oxon Hill",
            "state": "MD",
            "postal_code": "207451052",
            "country_code": "US",
            "telephone_number": "301-364-9292",
            "fax_number": "301-552-9743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NDUBISI",
        "first_name": "UCHENNA",
        "middle_name": "UZOMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-11",
        "last_updated": "2025-12-02",
        "certification_date": "2025-11-17",
        "deactivation_date": "2025-11-17",
        "reactivation_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "24180",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "CP049508T",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MD",
            "license": "24180",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; 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.