DR. FELIX OLUSEGUN ODUSAGA (PT, DPT) – Physical Therapist, NPI 1396962056

DR. FELIX OLUSEGUN ODUSAGA (PT, DPT) is a healthcare provider. based in Crown point, Indiana. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 05005317A (IN). The NPI Number for DR. FELIX OLUSEGUN ODUSAGA (PT, DPT) is 1396962056

Main info

Male
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. FELIX OLUSEGUN ODUSAGA (PT, DPT)
NPI
1396962056
Phone
(219) 689-3390
Address
9715 MONROE ST
Enumeration Date
20 April 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2196966353
Graduation Year
2004 (22 years ago)
PAC ID
2961861091
Group Practice PAC ID
4284999574
Professional Enrollment ID
I20230706003675
Address ID
IN463562310LO1020XAVEX400
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

1,866 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IN

Provider Addresses for DR. FELIX OLUSEGUN ODUSAGA (PT, DPT)

  • 9715 MONROE ST

    CROWN POINT, IN 463075452

    Phone: (219) 689-3390

    Mailing address matches the actual address.

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: 2023-07-06

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
I20230706003675IPhysical Therapist In Private PracticeINTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes23666$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes22066$0
97530Therapy procedure using functional activities18958$0
97140Therapy procedure using manual technique, each 15 minutes18561$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care18257$0
View full utilization report →

Insurance plans in this area (ZIP 46307)

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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: 4284999574View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIN
-IL
Physical Therapist In Private PracticeIN
-IA

Reviews

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Frequently asked questions

What federal number belongs to DR. FELIX OLUSEGUN ODUSAGA (PT, DPT)?
The federal identifier for DR. FELIX OLUSEGUN ODUSAGA (PT, DPT) is NPI 1396962056.
Is DR. FELIX OLUSEGUN ODUSAGA (PT, DPT) currently active in the NPI registry?
CMS-published data lists DR. FELIX OLUSEGUN ODUSAGA (PT, DPT) as an active registrant.
Can you summarize DR. FELIX OLUSEGUN ODUSAGA (PT, DPT)'s specialty in plain language?
Clinically, the directory lists DR. FELIX OLUSEGUN ODUSAGA (PT, DPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. FELIX OLUSEGUN ODUSAGA (PT, DPT)?
The page summarizes Crown Point, Indiana for DR. FELIX OLUSEGUN ODUSAGA (PT, DPT); expand the address list for detail.
Is DR. FELIX OLUSEGUN ODUSAGA (PT, DPT) a real provider?
This page reflects official NPPES data for NPI 1396962056. Always confirm identity and privileges with the practice and licensing boards.

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