Provider Demographics
NPI:1245832369
Name:CENTER OF PELVIC EXCELLENCE PHYSICAL THERAPY COPE PT
Entity type:Organization
Organization Name:CENTER OF PELVIC EXCELLENCE PHYSICAL THERAPY COPE PT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IJEOMA
Authorized Official - Middle Name:EMEKA
Authorized Official - Last Name:NWANKPA
Authorized Official - Suffix:
Authorized Official - Credentials:PT,DPT,WCS,CLT
Authorized Official - Phone:817-381-5177
Mailing Address - Street 1:2030 WHETSTONE WAY
Mailing Address - Street 2:
Mailing Address - City:PROSPER
Mailing Address - State:TX
Mailing Address - Zip Code:75078-9927
Mailing Address - Country:US
Mailing Address - Phone:817-381-5177
Mailing Address - Fax:817-383-0049
Practice Address - Street 1:3721 S STONEBRIDGE DR UNIT 1102
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-0236
Practice Address - Country:US
Practice Address - Phone:817-381-5177
Practice Address - Fax:817-383-0049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-13
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty