Kelechi Ogbonnaya, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9555 Issued in TN

Practice address

2424 N John B Dennis Hwy
Kingsport, TN 37660-5888

Phone

(423) 288-0313

Fax

(423) 288-0383

NPI assigned

Feb 15, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

TN Therapy Outsource, LLCGroup PAC ID 2668725664, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• TN Therapy Outsource, LLC

  • Physical Therapist
  • Jackson, TN
  • NPI 1891285185
  Medicare reassignment Care Compare group NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Clinton, TN
  • NPI 1376073262
  Medicare reassignment NPD
• Dr KC

  • Physical Therapist
  • Kingsport, TN
  • NPI 1093653024
  NPD Authorized official
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Independence, MO
  • NPI 1871072462
  NPD
• Physical Therapy of Jackson PC.

  • Physical Therapy Clinic/Center
  • Jackson, TN
  • NPI 1841247418
  NPD (past)

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

{
    "created_epoch": "1360886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360886400000",
    "number": "1992045751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 N JOHN B DENNIS HWY",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376605888",
            "telephone_number": "423-288-0313",
            "fax_number": "423-288-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 N JOHN B DENNIS HWY",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376605888",
            "telephone_number": "423-288-0313",
            "fax_number": "423-288-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGBONNAYA",
        "first_name": "KELECHI",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-15",
        "last_updated": "2013-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "9555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chastity M O'Quinn, RD
• James Clyde Oaks, PTA
• Wendy Tipton Oberdick, MD
• Lynn Marie Oconnell, FNP-C
• Kim Odle, PHARMD
• Kelly S Oggero, M.D.
• Kourtney Kahler Oggero, FNP
• Frank L Oglesby Jr., O.D.
• Tasha Marie Olinger, M.S., CF-SLP
• Amanda Michelle Oliver

• Physical Therapist in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; 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.