Active NPI
Angela Demetria Onyekanne, DPT
- Physical Therapist
- Wyoming, OH
National Provider Identifier
1972850279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 017759
- Practice address
- 123 Springfield Pike
Wyoming, OH 45215-4263 - Phone
- (513) 799-8263
- NPI assigned
- Aug 7, 2012
- Last updated
- Jul 22, 2025
- Sex
- Female
- 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 Therapist | 225100000X | 017759 | OH | Primary |
Addresses
Primary practice location
123 Springfield Pike
Wyoming, OH 45215-4263
Mailing address
123 Springfield Pike
Wyoming, OH 45215-4263
Phone (513) 799-8263
Other names 1
- Angela Johnson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, KY
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Virginia Commonwealth University, School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
123 Springfield Pike
Wyoming, OH 45215-4263
Phone (513) 799-8263
182 Barnwood Dr
Edgewood, KY 41017-2501
Phone (513) 799-8263
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017759 | OH | MD | Physical Therapist |
Organizations & group practices 1
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": "1344297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753142400000",
"number": "1972850279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 SPRINGFIELD PIKE",
"city": "WYOMING",
"state": "OH",
"postal_code": "452154263",
"telephone_number": "513-799-8263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 SPRINGFIELD PIKE",
"city": "WYOMING",
"state": "OH",
"postal_code": "452154263",
"telephone_number": "513-799-8263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONYEKANNE",
"first_name": "ANGELA",
"middle_name": "DEMETRIA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-07",
"last_updated": "2025-07-22",
"certification_date": "2025-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "017759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "JOHNSON",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Wyoming, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.