Individual provider Active NPI

Chinwe Okoro

  • Physical Therapist
  • Ashland, KY
National Provider Identifier
1235673344
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2400 13TH St
Ashland, KY 41102-4510
Phone
(606) 325-7955
NPI assigned
Dec 8, 2016
Last updated
Sep 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070.022659 IL
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

2400 13TH St
Ashland, KY 41102-4510

Mailing address

3691 Park Ave
Ellicott City, MD 21043-4783
Phone (240) 761-1018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190214000449 MD Practitioner - Physical Therapist in Private Practice 8729326947 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3691 Park Ave
Ellicott City, MD 21043-4783
Phone (240) 761-1018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26572MDMDClinical Social Worker
070.022659ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Feb 7, 2025 Accepting new patients
Mypt Physical Therapist CurrentSince Oct 17, 2022 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist Current Accepting new patients
Rehab Center of Maryland, Corp. Physical Therapist CurrentSince Apr 1, 2018 Accepting new patients
Medstar Health Physical Therapy at Home, LLC. Physical Therapist CurrentSince Feb 7, 2025 Accepting new patients
Medstar Health Physical Therapy at Home, LLC. Physical Therapist CurrentSince Feb 7, 2025 Accepting new patients

Locations

10980 Grantchester Way
Columbia, MD 21044
Phone (301) 202-1073

8600 Snowden River Pkwy
Columbia, MD 21045

8600 Snowden River Pkwy
Ste 101
Columbia, MD 21045
Phone (410) 720-5555

3691 Park Ave
Ellicott City, MD 21043
Phone (240) 761-1018

3691 Park Ave
Ste 11
Ellicott City, MD 21043

1106 Annapolis Rd
Ste 120
Odenton, MD 21113
Phone (410) 674-1650

8109 Ritchie Hwy
Ste 600
Pasadena, MD 21122
Phone (410) 553-3515

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1235673344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3691 PARK AVE",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434783",
            "telephone_number": "240-761-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 13TH ST",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411024510",
            "telephone_number": "606-325-7955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKORO",
        "first_name": "CHINWE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-08",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.022659",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.