Desiree Ngwanah

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1204249 Issued in TX

Practice address

1241 Cross Timbers Rd
Flower Mound, TX 75028-1272

Phone

(972) 691-3131

NPI assigned

Feb 24, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Devic Physical Therapy LLC

  • Physical Therapist
  • Dallas, TX
  • NPI 1760203319
  Medicare reassignment Authorized official
• Devic Physical Therapy

  • Physical Therapist
  • Grand Prairie, TX
  • NPI 1013754357
  NPD Authorized official
• Seniorcare Associates LP

  • Home Health Agency
  • Mechanicsburg, PA
  • NPI 1518041102
  NPD (past)

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1891389300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7220 VIENTA PT",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750540090",
            "telephone_number": "817-881-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 CROSS TIMBERS RD",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281272",
            "telephone_number": "972-691-3131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7220 Vienta Pt",
            "address_purpose": "LOCATION",
            "city": "Grand Prairie",
            "state": "TX",
            "postal_code": "750540090",
            "country_code": "US",
            "telephone_number": "817-881-9996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGWANAH",
        "first_name": "DESIREE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1204249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Dngwanah@bswrehab.com",
            "affiliation": "N",
            "address_1": "1241 Cross Timbers Rd",
            "city": "Flower Mound",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750281272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Linda Nguyen, COTA
• Lisa Nguyen, PA
• Long Van Nguyen, MD
• Mery Linh Nguyen
• Vivi Nguyen, PHARMD
• Christina Trang Ni, PA
• Dianna Nickel, LPC
• Krystal Nicodemus, LPC
• Raazia Nihan
• Behrooz Niknam, D.D.S.

• Physical Therapist in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.