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MBONG JERRY NGWESE NPI 1447816590


NPI Information

NPI: 1447816590
Provider Name: MBONG JERRY NGWESE
Classification: Physical Therapist - 2251S0007X
Entity Type: Individual

Specialization: Sports

Address:
2546 WEST BLOCH RD
PHOENIX, AZ
ZIP 85041
Phone: (480) 233-9241
Get Directions

Mbong Jerry Ngwese is a sports physical therapist in Phoenix, AZ. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement. Mbong Jerry Ngwese NPI is 1447816590. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2546 WEST BLOCH RD
PHOENIX, AZ
ZIP 85041
Phone: (480) 233-9241
Fax: (602) 276-5063

The enumeration date for this NPI number is 5/14/2019 and was last updated on 5/14/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251S0007XPhysical TherapistSportsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.