Individual provider Active NPI

Mark Ikechukwu Agholor, DPT

  • Physical Therapist
  • Kingwood, TX
National Provider Identifier
1952999559
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1339827 Issued in TX
Practice address
23780 Hwy 59 N
Kingwood, TX 77339-1529
Phone
(281) 358-1838
Fax
(281) 358-1812
NPI assigned
Jan 8, 2021
Last updated
Jun 29, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1339827 TX Primary

Addresses

Primary practice location

23780 Hwy 59 N
Kingwood, TX 77339-1529

Mailing address

23780 Hwy 59 N
Kingwood, TX 77339-1529
Phone (281) 358-1838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, DC, MD3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210827001467 TX Practitioner - Physical Therapist in Private Practice 3375948458 Reassigns benefits to 6 organizations
I20251110002958 DC Practitioner - Physical Therapist in Private Practice 3375948458 Reassigns benefits to 1 organization
I20251119000853 MD Practitioner - Physical Therapist in Private Practice 3375948458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LHMG Physical Therapy, LLCGroup PAC ID 3870893738, 101 clinicians

Practice addresses (Care Compare)

6836 Race Track Rd
Bowie, MD 20715-3011
Phone (301) 805-7004

820 Ritchie Hwy
Suite 100
Severna Park, MD 21146-4111
Phone (443) 481-1140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1339827TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Oct 1, 2025 Accepting new patients
Dynamic Anesthesia Providers PLLC Physical Therapist CurrentSince Apr 8, 2021 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Oct 1, 2025 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist Current Accepting new patients
Angleton Rehabilitation and Wellness Center, LTD Physical Therapist CurrentSince Apr 26, 2022 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Aug 30, 2021 Accepting new patients
Lakshmiba LLC Physical Therapist CurrentSince May 16, 2022 Accepting new patients
River Oaks Physical Therapy, Inc CurrentSince Apr 22, 2022 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Oct 1, 2025 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Aug 30, 2021 Accepting new patients
SWT Healthcare CurrentSince Apr 29, 2022 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

6836 Race Track Rd
Bowie, MD 20715
Phone (301) 805-7004

8109 Ritchie Hwy
Ste 600
Pasadena, MD 21122
Phone (410) 553-3515

820 Ritchie Hwy
Ste 100
Severna Park, MD 21146
Phone (410) 544-6813

421 S Velasco St
Angleton, TX 77515
Phone (979) 848-1886

1335 E Whitestone Blvd
#100
Cedar Park, TX 78613
Phone (512) 539-0032

1010 Travis St
Ste 800
Houston, TX 77002
Phone (281) 940-9423

10100 Katy Fwy
Ste 170
Houston, TX 77043
Phone (832) 795-9175

2900 Weslayan St
Ste 545
Houston, TX 77027
Phone (281) 940-9423

4615 Southwest Fwy
Ste 850
Houston, TX 77027
Phone (281) 475-4428

7524 FM 1960 Rd W
Houston, TX 77070
Phone (832) 795-9136

26710 Interstate 45
Ste B
Spring, TX 77386
Phone (281) 419-1117

2735 Town Center Blvd N
Ste N
Sugar Land, TX 77479
Phone (281) 728-7734

5601 Brodie Ln
Sunset Valley, TX 78745
Phone (512) 580-3055

Organizations & group practices 11

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": "1610064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1952999559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23780 HWY 59 N",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773391529",
            "telephone_number": "281-358-1838",
            "fax_number": "281-358-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23780 HWY 59 N",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773391529",
            "telephone_number": "281-358-1838",
            "fax_number": "281-358-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGHOLOR",
        "first_name": "MARK",
        "middle_name": "IKECHUKWU",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-08",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1339827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.