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NPI Code Detail

MEDICARE: LUKACHUKWU OJEMAYE D.P.T

MEDICARE: LUKACHUKWU OJEMAYE D.P.T
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist292585CA
2174400000XSpecialist1268578TX

General Provider Information

NPI Number : 1861851214
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUKACHUKWU OJEMAYE D.P.T
Provider Business Mailing Address
First Line : 2613 CREEKSIDE PL
Second Line :
City : FLOWER MOUND
State : TX
Zip : 75022-5345
Country : US
Telephone Number : 469-534-3068
Fax Number :
Provider Business Practice Location Address
First Line : 3532 ALAMEDA DE LAS PULGAS
Second Line :
City : MENLO PARK
State : CA
Zip : 94025-6510
Country : US
Telephone Number : 650-561-9589
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2016
Last Update Date : 02/16/2026

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