Active NPI
Peter Esosa Ogbeifun
- Physical Rehabilitation Occupational Therapist
- Dallas, TX
National Provider Identifier
1972070217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- 118768
- Practice address
- 14655 Preston Rd
Dallas, TX 75254-7805 - Phone
- (972) 726-7575
- NPI assigned
- Oct 25, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 118768 | TX | Primary |
Addresses
Primary practice location
14655 Preston Rd
Dallas, TX 75254-7805
Mailing address
5849 Shetland Cir
Frisco, TX 75034-4053
Phone (973) 650-8558
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118768 | TX | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540425600000",
"number": "1972070217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5849 SHETLAND CIR",
"city": "FRISCO",
"state": "TX",
"postal_code": "750344053",
"telephone_number": "973-650-8558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14655 PRESTON RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752547805",
"telephone_number": "972-726-7575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGBEIFUN",
"first_name": "PETER",
"middle_name": "ESOSA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-25",
"last_updated": "2018-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "TX",
"license": "118768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.