Individual provider Active NPI

Ikeogu Kalu, PT, DPT

  • Physical Therapist
  • Charlotte, NC
National Provider Identifier
1831858018
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P22573 Issued in NC
Practice address
3627 Beatties Ford Rd Ste 200
Charlotte, NC 28216-3249
Phone
(984) 297-8155
NPI assigned
Dec 15, 2021
Last updated
Jan 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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 P22573 NC Primary
Physical Therapist 225100000X PT015711 GA

Addresses

Primary practice location

3627 Beatties Ford Rd Ste 200
Charlotte, NC 28216-3249

Mailing address

7010 Hodgson Memorial Dr
Savannah, GA 31406-2529
Phone (912) 401-0443

Other practice location 1

7010 Hodgson Memorial Dr
Savannah, GA 31406-2529
Phone (912) 401-0443

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230912003310 NC Practitioner - Physical Therapist in Private Practice 1052705191 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab North Carolina LLCGroup PAC ID 8820336324, 158 clinicians

Practice addresses (Care Compare)

3627 Beatties Ford Rd
Suite 200
Charlotte, NC 28216-3249
Phone (984) 297-8155

9216 Ardrey Kell Rd
Suite 300
Charlotte, NC 28277-4954
Phone (980) 556-7330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT015711GAMDPhysical Therapist
P22573NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina Luna Care Physical Therapy LLC Physical Therapist CurrentSince Aug 29, 2023 Accepting new patients
Duke University Health System, Inc. CurrentSince Feb 21, 2025 Accepting new patients
Ivyrehab North Carolina LLC CurrentSince Dec 29, 2025 Accepting new patients
Duke University Health System, Inc. Physical Therapist CurrentSince Feb 21, 2025 Accepting new patients
Ivyrehab North Carolina LLC Physical Therapist CurrentSince Dec 29, 2025 Accepting new patients

Locations

3627 Beatties Ford Rd
Ste 200
Charlotte, NC 28216
Phone (704) 394-6677

3627 Beatties Ford Rd
Ste 3249
Charlotte, NC 28216
Phone (984) 297-8155

9216 Ardrey Kell Rd
Ste 300
Charlotte, NC 28277
Phone (980) 556-7330

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

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, 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": "1639526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1831858018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7010 HODGSON MEMORIAL DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062529",
            "telephone_number": "912-401-0443",
            "fax_number": "912-401-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3627 BEATTIES FORD RD STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282163249",
            "telephone_number": "984-297-8155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7010 Hodgson Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314062529",
            "country_code": "US",
            "telephone_number": "912-401-0443",
            "fax_number": "912-401-0445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALU",
        "first_name": "IKEOGU",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-15",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P22573",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT015711",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.

Verify at the official NPI Registry.