DR. UCHENNA CRYSTAL EZINNE OKENKPU (DPT) – Physical Therapist, NPI 1124693635

DR. UCHENNA CRYSTAL EZINNE OKENKPU (DPT) is a healthcare provider. based in Houston, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 1369532 (TX). The NPI Number for DR. UCHENNA CRYSTAL EZINNE OKENKPU (DPT) is 1124693635

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. UCHENNA CRYSTAL EZINNE OKENKPU (DPT)
NPI
1124693635
Phone
(281) 493-9966
Address
12121 RICHMOND AVE STE 100
Enumeration Date
26 May 2021
Last Update Date
18 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2814939966
Graduation Year
2021 (5 years ago)
PAC ID
2163820283
Group Practice PAC ID
3971508235
Professional Enrollment ID
I20241217003630
Address ID
TX770822420HO12121AVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

Provider Addresses for DR. UCHENNA CRYSTAL EZINNE OKENKPU (DPT)

  • 12121 RICHMOND AVE STE 100

    HOUSTON, TX 770822420

    Phone: (281) 493-9966

    Type: Location

  • 301 OLD SAN FRANCISCO RD

    SUNNYVALE, CA 940866386

    Phone: (408) 523-3060

    Type: Location

  • 325 DISTEL CIR

    LOS ALTOS, CA 940221408

    Phone:

    Type: Mailing

  • 301 Old San Francisco Rd

    Sunnyvale, CA 940866386

    Phone: (408) 523-3060

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-12-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241217003630IPhysical Therapist In Private PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77082)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971508235View full group profile
NameSpecialtyState
Interventional Radiology, Diagnostic RadiologyTX
U R O L O G YTX
U R O L O G YTX
Nurse PractitionerTX
U R O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YOK
U R O L O G YTX
Nurse PractitionerTX
-TX
U R O L O G YTX

Reviews

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Frequently asked questions

How do payers reference DR. UCHENNA CRYSTAL EZINNE OKENKPU (DPT)?
For DR. UCHENNA CRYSTAL EZINNE OKENKPU (DPT), use NPI 1124693635 as the unique 10-digit identifier.
Is there an active status for DR. UCHENNA CRYSTAL EZINNE OKENKPU (DPT)?
For scheduling context, DR. UCHENNA CRYSTAL EZINNE OKENKPU (DPT) is shown as active in the registry.
What area of care is associated with DR. UCHENNA CRYSTAL EZINNE OKENKPU (DPT)?
DR. UCHENNA CRYSTAL EZINNE OKENKPU (DPT)'s record emphasizes Physical Therapist. Clinical services aligned with this taxonomy classification.
Is DR. UCHENNA CRYSTAL EZINNE OKENKPU (DPT) associated with Houston?
Public fields place DR. UCHENNA CRYSTAL EZINNE OKENKPU (DPT) around Houston, Texas. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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