OGECHUKWU CHARLES OKOLI (P.T.) – Physical Therapist, NPI 1740404458

OGECHUKWU CHARLES OKOLI (P.T.) is a healthcare provider. based in Ellenwood, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T.. They hold a License No. PT008440 (GA). The NPI Number for OGECHUKWU CHARLES OKOLI (P.T.) is 1740404458

Main info

Male
Sole Proprietor
22 Years Of Experience
Name
OGECHUKWU CHARLES OKOLI (P.T.)
NPI
1740404458
Phone
(770) 765-5586
Address
3333 HOLLY HILL PKWY
Enumeration Date
12 April 2007
Last Update Date
19 September 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6785853599
Graduation Year
2004 (22 years ago)
PAC ID
5698062271
Group Practice PAC ID
8628357183
Professional Enrollment ID
I20170104000780
Address ID
GA300354020DE5040XDRXX407
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,871 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

Provider Addresses for OGECHUKWU CHARLES OKOLI (P.T.)

  • 3333 HOLLY HILL PKWY

    ELLENWOOD, GA 302946566

    Phone: (770) 765-5586

    Type: Mailing

  • 550 PEACHTREE ST, NW

    ATLANTA, GA 30308

    Phone: (404) 686-2386

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-01-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170104000780IPhysical Therapist In Private PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30294)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628357183View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeGA

Reviews

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Frequently asked questions

How do I look up OGECHUKWU CHARLES OKOLI (P.T.) by NPI?
Use NPI 1740404458 when you need to reference OGECHUKWU CHARLES OKOLI (P.T.) in forms, claims, or directories.
Is OGECHUKWU CHARLES OKOLI (P.T.) active in the national directory?
OGECHUKWU CHARLES OKOLI (P.T.)'s public NPI profile is in an active state.
What does OGECHUKWU CHARLES OKOLI (P.T.) treat or focus on?
Patients typically see OGECHUKWU CHARLES OKOLI (P.T.) under the specialty Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is OGECHUKWU CHARLES OKOLI (P.T.)'s primary listing?
We display Ellenwood, Georgia because that is what the record indicates for OGECHUKWU CHARLES OKOLI (P.T.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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