Active NPI
Kale-Ane Saro Idee Igboh, PT, DPT
- Physical Therapist
- Oklahoma City, OK
National Provider Identifier
1629916127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6539
- Practice address
- 9600 N Oklahoma Ave
Oklahoma City, OK 73114-7404 - Phone
- (612) 819-3691
- NPI assigned
- Mar 24, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6539 | OK | Primary |
Addresses
Primary practice location
9600 N Oklahoma Ave
Oklahoma City, OK 73114-7404
Mailing address
2620 Cedar Tree Rd Apt B
Oklahoma City, OK 73120-0128
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1650 Lyndon Farm CT
Suite 300
Louisville, KY 40223-4029
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6539 | OK | MD | Physical Therapist |
Organizations & group practices 1
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.
-
- Physical Therapist
- Norman, OK
- NPI 1942690375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1629916127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 CEDAR TREE RD APT B",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731200128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9600 N OKLAHOMA AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731147404",
"telephone_number": "612-819-3691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IGBOH",
"first_name": "KALE-ANE",
"middle_name": "SARO IDEE",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-03-24",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "6539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.