Individual provider Active NPI

Ezinne Vivian Okoro, PT, DPT

  • Physical Therapist
  • Shawnee, KS
National Provider Identifier
1124947064
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-08178 Issued in KS
Practice address
7740 Hedge Lane Ter
Shawnee, KS 66227-3017
Phone
(913) 745-7537
Fax
(844) 273-2719
NPI assigned
Jul 14, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11-08178 KS Primary

Addresses

Primary practice location

7740 Hedge Lane Ter
Shawnee, KS 66227-3017

Mailing address

7740 Hedge Lane Ter
Shawnee, KS 66227-3017
Phone (913) 745-7537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom Physical Therapy and Training Center PA Physical Therapist CurrentSince Jul 4, 2026 Accepting new patients
Spectrum Private Care Services, LLC PastSince Jul 4, 2026 Accepting new patients

Locations

7740 Hedge Lane Ter
Shawnee, KS 66227
Phone (913) 299-7100

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1783987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1124947064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7740 HEDGE LANE TER",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662273017",
            "telephone_number": "913-745-7537",
            "fax_number": "844-273-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7740 HEDGE LANE TER",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662273017",
            "telephone_number": "913-745-7537",
            "fax_number": "844-273-2719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKORO",
        "first_name": "EZINNE",
        "middle_name": "VIVIAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-14",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-08178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.