Individual provider Active NPI

Ogechi Iloegbunam

  • Physical Therapist
  • Edgewood, KY
National Provider Identifier
1619733060
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
008953 Issued in KY
Practice address
2950 Turkeyfoot Rd
Edgewood, KY 41017-5400
Phone
(859) 426-1888
NPI assigned
Feb 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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 008953 KY Primary

Addresses

Primary practice location

2950 Turkeyfoot Rd
Edgewood, KY 41017-5400

Mailing address

10831 Charismatic LN
Union, KY 41091-8048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250225000065 KY Practitioner - Physical Therapist in Private Practice 6608396429 Reassigns benefits to 1 organization
I20250911001111 OH Practitioner - Physical Therapist in Private Practice 6608396429 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

2950 Turkeyfoot Rd
Edgewood, KY 41017-5400
Phone (859) 331-8333

6849 Beechmont Ave
Cincinnati, OH 45230-2993
Phone (513) 386-9134

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008953KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Dec 12, 2024 Accepting new patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Dec 12, 2024 Accepting new patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Aug 5, 2025 Accepting new patients
Cortlyn Therapy, PC Physical Therapist CurrentSince Sep 22, 2025 Accepting new patients

Locations

7125 Janes Ave
Ste 300
Woodridge, IL 60517
Phone (630) 413-5817

110 Horizon Dr
#310
Raleigh, NC 27615

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

230 W Galbraith Rd
Cincinnati, OH 45215
Phone (513) 258-2714

Organizations & group practices 5

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": "1708646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1619733060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10831 CHARISMATIC LN",
            "city": "UNION",
            "state": "KY",
            "postal_code": "410918048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 TURKEYFOOT RD",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410175400",
            "telephone_number": "859-426-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILOEGBUNAM",
        "first_name": "OGECHI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "008953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.