Annah Segosebe, PT

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

1066496 Issued in TX

Practice address

12711 Alyssa Ave
Missouri City, TX 77489-3951

Phone

(281) 650-8919

Fax

(281) 815-2949

NPI assigned

Nov 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458432000000",
    "number": "1912076910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12711 ALYSSA AVE",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774893951",
            "telephone_number": "281-650-8919",
            "fax_number": "281-815-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12711 ALYSSA AVE",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774893951",
            "telephone_number": "281-650-8919",
            "fax_number": "281-815-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGOSEBE",
        "first_name": "ANNAH",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2016-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "TX",
            "license": "1066496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Geriatric Physical Therapist in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Geriatric Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2016; 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.