Individual provider Active NPI

Azubuike Chukwudi Ekwueme, DPT

  • Physical Therapist
  • Lawrenceville, GA
National Provider Identifier
1992171797
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP029522T Issued in GA
Practice address
1404 Lawrenceville Suwanee Rd Ste 101
Lawrenceville, GA 30043-4336
Phone
(470) 392-1116
NPI assigned
Aug 15, 2015
Last updated
Jan 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP029522T GA Primary
Orthopedic Physical Therapist 2251X0800X 09583R LA

Addresses

Primary practice location

1404 Lawrenceville Suwanee Rd Ste 101
Lawrenceville, GA 30043-4336

Mailing address

8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217

Other practice location 1

3455 Peachtree Pkwy
Ste 206
Suwanee, GA 30024-9104
Phone (678) 473-1081

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
09583RLAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Unique Care LLC Physical Therapist CurrentSince Feb 17, 2025 Accepting new patients

Locations

4465 Nelson Brogdon Blvd
Ste 102
Buford, GA 30518
Phone (678) 761-1280

1404 Lawrenceville Suwanee Rd
Ste A1
Lawrenceville, GA 30043
Phone (678) 761-1280

1404 Lawrenceville Suwanee Rd
Ste A101
Lawrenceville, GA 30043
Phone (470) 392-1116

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": "1439596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1992171797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8823 PRODUCTION LN",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636511",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 LAWRENCEVILLE SUWANEE RD STE 101",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300434336",
            "telephone_number": "470-392-1116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3455 Peachtree Pkwy",
            "address_2": "Ste 206",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300249104",
            "country_code": "US",
            "telephone_number": "678-473-1081",
            "fax_number": "678-473-1082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EKWUEME",
        "first_name": "AZUBUIKE",
        "middle_name": "CHUKWUDI",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-15",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "CP029522T",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "LA",
            "license": "09583R",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.