Divine Lovala Kuja

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1236233 Issued in TX

Practice address

601 S Great Southwest Pkwy Ste 106
Grand Prairie, TX 75051-1057

Phone

(214) 412-2528

NPI assigned

Jul 9, 2019

Sex

Male

Sole proprietor

Yes

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Summit Physical Therapy P a

  • Physical Therapist
  • Plano, TX
  • NPI 1740282052
  Medicare reassignment NPD
• Jap Physical Therapy

  • Physical Therapy Clinic/Center
  • Grand Prairie, TX
  • NPI 1710537022
  NPD

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1922650100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S GREAT SOUTHWEST PKWY STE 106",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750511057",
            "telephone_number": "214-412-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S GREAT SOUTHWEST PKWY STE 106",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750511057",
            "telephone_number": "214-412-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUJA",
        "first_name": "DIVINE",
        "middle_name": "LOVALA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-09",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1236233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "anfomon@gmail.com",
            "affiliation": "N",
            "address_1": "601 S Great Southwest Pkwy Ste 106",
            "city": "Grand Prairie",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750511057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephanie Krawietz, DPT
• Thomas William Kretchun, DDS
• Kroger Texas L P
• Kroger Texas L P
• Angela Kufuor, NP
• Hubertine Koko Kulapa
• Ashwini Kulkarni, PT
• Kehinde M Kulugh, FNP-BC
• KVS Healthcare Services
• Simeon Mingtack Kwan, DO

• Physical Therapist in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.