MR. BENJAMIN CHUKWUMA IGWE (NPI# 1275869737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275869737 |
| Entity Type | Individual |
| Full Name | MR. BENJAMIN CHUKWUMA IGWE |
| Credential | P.T. |
| Practice Address |
23000 Moakley St Suite 101 Leonardtown MD 20650-2915 |
| Practice Telephone | 3014756507 |
| Practice Fax Number | 3014756507 |
| Mailing Telephone | 3014756507 |
| Mailing Fax Number | 3014756507 |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2009-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 029621-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
22381 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | PT LICENSE | 029621-1 | 01 |
| MD | PT LICENSE | 22381 | 01 |
| Street Address |
23000 MOAKLEY ST SUITE 101 |
| City | LEONARDTOWN |
| State | MD |
| Zip Code | 20650-2915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619972544 | Douglas Avery & Associates Ltd | Clinic/Center | 23000 Moakley St, Ste 101, Leonardtown, MD 20650-2916 | 2005-06-16 |
| 1104331529 | Jessica Marie Weimert | Physical Therapist | 23000 Moakley St, Leonardtown, MD 20650-2915 | 2017-12-07 |
| 1609315993 | Megan Gessford | Nurse Practitioner | 23000 Moakley St, Suite 102, Leonardtown, MD 20650-2915 | 2017-02-20 |
| 1992164669 | Kaitlyn Ann Coucoules | Physician Assistant | 23000 Moakley St, Suite 102, Leonardtown, MD 20650-2915 | 2016-02-23 |
| 1215341367 | Kashmira Satghar | Physical Therapist | 23000 Moakley St, Suite 101, Leonardtown, MD 20650-2915 | 2014-06-17 |
| 1699104729 | Michelle Narducci | Nurse Practitioner | 23000 Moakley St, Suite 203, Leonardtown, MD 20650-2915 | 2013-11-08 |
| 1093158180 | Celia Marie Lenker | Physical Therapist | 23000 Moakley St, Suite 101, Leonardtown, MD 20650-2915 | 2013-04-09 |
| 1710207709 | Southern Maryland Physical Therapy Inc. | Occupational Therapist | 23000 Moakley St, Suite #102, Leonardtown, MD 20650-2915 | 2010-06-02 |
| 1265603617 | Lydia Elizabeth Pavelka | Physical Therapist | 23000 Moakley St, Suite 101, Leonardtown, MD 20650-2915 | 2008-03-13 |
| 1609044197 | Lawrence E Tilley, Mdpa | Obstetrics & Gynecology | 23000 Moakley St, Suite 203, Leonardtown, MD 20650-2915 | 2008-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831665819 | Delahay Healthcare Services LLC | Home Health Aide | 40001 Stillwater Ln, Leonardtown, MD 20650 | 2018-10-17 |
| 1891241519 | Aaron Dailey | Pharmacist | 40955 Merchant Lane, Leonardtown, MD 20650 | 2016-09-01 |
| 1720483936 | Joy Jay, Inc | Dentist | 41630 Courthouse Dr., Leonardtown, MD 20650 | 2014-10-30 |
| 1497092605 | Deborah Ann Duley | Social Worker | 41660 Courthouse Drive, Suite 201c, Leonardtown, MD 20650 | 2013-01-08 |
| 1962757104 | Sense-ability, LLC | Occupational Therapy Assistant | 41680 Miss Bessie Dr Ste 103, Leonardtown, MD 20650 | 2012-07-13 |
| 1578876264 | Belitehorizonmedicalcenter | Psychiatry & Neurology | 26825 Pointlook Out Road, Stee, Leonardtown, MD 20650 | 2010-07-22 |
| 1043544497 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 41680 Courthouse Dr, Leonardtown, MD 20650 | 2009-10-01 |
| 1487892899 | Valentina Savel | Nurse Anesthetist, Certified Registered | 25500 Pt Lookout Rd, Leonardtown, MD 20650 | 2009-01-23 |
| 1174786362 | Henry Todd Allen | Dentist | 22690 Washington Street, Leonardtown, MD 20650 | 2008-07-08 |
| 1487813192 | St Mar's County Dept of Human Services | Public Health or Welfare | 23115 Leonard Hall Drive, Department of Human Services, Leonardtown, MD 20650 | 2008-06-06 |
| Find all providers in zip 20650 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942767439 | Lara Anderson | Physical Therapist | 23000 Moakley St Ste 101, Leonardtown, MD 20650-2916 | 2019-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528665262 | Ah Concierge Physical Therapy LLC | Physical Therapist | 5889 Solomons Island Road #626, Tracys Landing, MD 20779 | 2020-10-06 |
| 1417417163 | Elite Performance Institute LLC | Physical Therapist | 19719 Leitersburg Pike, Hagerstown, MD 21742-1443 | 2019-03-20 |
| 1619440203 | Daniel Moore Chapman | Physical Therapist | 3555 Newland Rd, Baltimore, MD 21218-2513 | 2019-01-07 |
| 1427532126 | Taylor Physical Therapy, P.C. | Physical Therapist | 2419 Whiteford Rd Ste A, Whiteford, MD 21160-1218 | 2018-09-18 |
| 1316438070 | Dylan Marks | Physical Therapist | 5024 Dorsey Hall Dr Ste 103, Ellicott City, MD 21042-7869 | 2018-05-29 |
| 1225529829 | Inspire Movement Physical Therapy, LLC | Physical Therapist | 3301 Ridge Rd, Westminster, MD 21157-7443 | 2018-05-21 |
| 1619480258 | Knicley Se, LLC | Physical Therapist | 3540 Sugarloaf Pkwy Ste D03, Frederick, MD 21704-7901 | 2017-11-06 |
| 1033620539 | Adam Fuehrer | Physical Therapist | 2 W Rolling Xrds, Catonsville, MD 21228-6208 | 2017-10-24 |
| 1881112282 | Michael John Ayun Ayun Cruz | Physical Therapist | 10301 Georgia Ave Suite 105b, Silver Spring, MD 20902 | 2017-09-06 |
| 1730604745 | Functional Physical Therapy, LLC | Physical Therapist | 103 N Adams St Ste 1-2, Rockville, MD 20850-2256 | 2017-08-10 |
| Find all providers with the same taxonomy | ||||
| City | LEONARDTOWN |
| Zip Code | 20650 |
Please comment or provide details below to improve the information on MR. BENJAMIN CHUKWUMA IGWE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.