MBONG JERRY NGWESE


Address: 2546 West Bloch Rd, Phoenix, AZ 85041
Phone: 4802339241

MBONG JERRY NGWESE (NPI# 1447816590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447816590
Entity Type Individual
Full Name MBONG JERRY NGWESE
Practice Address 2546 West Bloch Rd
Phoenix
AZ 85041
Practice Telephone 4802339241
Practice Fax Number 6022765063
Mailing Telephone 4802339241
Mailing Fax Number 6022765063
Enumeration Date 2019-05-14
Last Update Date 2019-05-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2251S0007X Physical Therapist
Specialization: Sports
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 2546 WEST BLOCH RD
City PHOENIX
State AZ
Zip Code 85041

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Taxonomy Information

Taxonomy Code 2251S0007X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Sports

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952665721 Tamara Gerry Nicholson Physical Therapist 4440 N 36th St Ste 240, Phoenix, AZ 85018-3592 2012-06-27
1306997580 Keith James Pritchette Physical Therapist 4730 E Warner Rd Ste 10, Phoenix, AZ 85044-3320 2007-01-15
1467523381 Richard Charles Elsner Physical Therapist 2222 East Highland Ave, Suite 310, Phoenix, AZ 85016-4879 2006-11-13
1275584567 Justin M Sampley Physical Therapist 425 E Pinnacle Peak Rd, Phoenix, AZ 85024-5657 2006-05-12
1760039515 Keegan Ross Physical Therapist 2629 E Rose Garden Ln, Phoenix, AZ 85050-4605 2019-08-26
1013495621 Hannah Breck Physical Therapist 2629 E Rose Garden Ln, Phoenix, AZ 85050-4605 2018-08-06
1003300963 Jarad Coleman Brisbin Physical Therapist 5750 S 32nd St, Phoenix, AZ 85040-3833 2018-06-14
1255754354 Foothills Sports Medicine & Rehabilitation - Downtown, LLC Physical Therapist 375 E Virginia Ave, Phoenix, AZ 85004-1202 2014-01-24
1447509708 Annemarie Alf Physical Therapist 2629 E Rose Garden Ln, Phoenix, AZ 85050-4605 2012-09-02
1518160183 Foothills Sports Medicine and Rehabilitation Biltmore Inc Physical Therapist 2222 E Highland Ave, Suite 200, Phoenix, AZ 85016-4872 2007-06-08
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Competitor

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City PHOENIX
Zip Code 85041

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Dataset Information

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.

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