KELECHI OFODU (DPT) – Physical Therapist, NPI 1275359150

KELECHI OFODU (DPT) is a healthcare provider. based in Lees summit, Missouri. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 2024045330 (MO). The NPI Number for KELECHI OFODU (DPT) is 1275359150

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
KELECHI OFODU (DPT)
NPI
1275359150
Phone
(816) 745-6539
Address
821 SW CUTTER LN
Enumeration Date
25 November 2024
Last Update Date
25 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8164524488
Graduation Year
2023 (3 years ago)
PAC ID
6608302849
Group Practice PAC ID
9830346824
Professional Enrollment ID
I20241211000438
Address ID
MO641541100KA4119XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

1,533 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MO

Provider Addresses for KELECHI OFODU (DPT)

  • 821 SW CUTTER LN

    LEES SUMMIT, MO 640811782

    Phone: (816) 745-6539

    Type: Mailing

  • 4119 NW BARRY RD

    KANSAS CITY, MO 641541100

    Phone: (816) 452-4888

    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: 2024-12-11

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
I20241211000438IPhysical Therapist In Private PracticeMOTBD

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 64081)

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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: 9830346824View full group profile
NameSpecialtyState
Vascular Surgery, General SurgeryMO
C H I R O P R A C T I CMO
Nurse PractitionerMO
Nurse PractitionerGA
C H I R O P R A C T I CMO
Vascular SurgeryMO
Physical Therapist In Private PracticeMO
C H I R O P R A C T I CKS
-SC
Nurse PractitionerMO

Reviews

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Frequently asked questions

What is the standard ID for KELECHI OFODU (DPT) in the U.S.?
In the U.S., KELECHI OFODU (DPT) is identified by NPI 1275359150.
Is KELECHI OFODU (DPT) currently accepting referrals based on NPI status?
Registry metadata lists KELECHI OFODU (DPT) as active.
What does the directory say KELECHI OFODU (DPT) does?
Insurance directories may phrase it differently, but here KELECHI OFODU (DPT) maps to Physical Therapist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KELECHI OFODU (DPT)?
KELECHI OFODU (DPT) is associated with Lees Summit, Missouri in the same public data insurers reference.
Why is information missing for KELECHI OFODU (DPT)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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