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Ebunoluwa Abodunrin Ogunola , PHYSICAL THERAPIST

Physical Therapist โ€ข Mansfield, TX

Active NPI 1902536279 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

3020 E Broad St Ste 112
Mansfield, TX 760636696

Call 6824227580 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3020 E Broad St Ste 112

Mansfield, TX 760636696

Telephone 6824227580
Organization at the Same NPPES Address or Phone
Tidewater Physical Therapy, Llc Facility NPI 1003114083

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Athletico Ltd. See the list

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Graduation Year

2021

Medicare patients

14 people with Original Medicare in 2023

Different Original Medicare patients in 2023; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2023.

Medicare-allowed amount

About $5,594 in 2023

The total amount Medicare approved for these services in 2023. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2023.

Paid by Medicare

About $4,434 in 2023

The part of the Medicare-allowed amount that Medicare itself paid in 2023, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2023.

Years since graduation

5 years (graduated 2021)

CMS Doctors and Clinicians data list 2021 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Ebunoluwa Ogunola has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Mansfield and Texas

Billing and prescribing volume is not a quality rating.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Ebunoluwa Ogunola are from 2023.

72 active clinicians are listed under Physical Therapist with a practice address in Mansfield, TX (15,562 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Mansfield

1.4% of these 72 clinicians have the CMS telehealth indicator.

31.9% of these 72 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2023), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2023.

CMS Part B ยท Data Year 2023

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2022 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2023; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
97530 Therapy procedure using functional activities
136 14 $90.47 $30.36
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
67 14 $96.81 $21.86

Source: CMS Part B by Provider and Service, 2023; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-10-09
Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

License # reported to NPPES TX 1360654

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE

Medicare Enrollment ID

I20230906004330

Enrollment State Jurisdiction

TX

PECOS Control ID

4385008523

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Athletico Ltd

3020 E Broad St, Mansfield, TX 760636696

Phone: 6824227580

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Cherie Gilliland , PT

Physical Therapist

NPI 1336570217

Physical Therapist

Tan Ta

Physical Therapist

NPI 1003678673

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
๐Ÿ“
Updated Practice Location October 09, 2025

Registered at 3020 E BROAD ST STE 112, MANSFIELD, TX 760636696 (Tel: 6824227580)

๐Ÿ“
Updated Business Mailing Address October 09, 2025

Registered at 2122 YORK RD STE 300, OAK BROOK, IL 605231925 (Tel: 6305751980)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2025

Physical Therapist (license number reported to NPPES: TX 1360654)

๐Ÿ“
Updated Practice Location April 22, 2025

Registered at 1540 EASTCHASE PKWY STE 4A, FORT WORTH, TX 761204404 (Tel: 9729796577)

๐Ÿ“
Updated Business Mailing Address April 22, 2025

Registered at 2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 605151211

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2025

Physical Therapist

โœ…
NPI Profile Active June 13, 2022

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) June 13, 2022

Registered at HIGHWAY 264 & HIGHWAY 191, GANADO, AZ 865050457 (Tel: 9287554893)

๐Ÿ“
Business Mailing Address (Initial Record) June 13, 2022

Registered at PO BOX 457, GANADO, AZ 865050457 (Tel: 9287554893)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) June 13, 2022

Recorded as EBUNOLUWA OGUNOLA, PHYSICAL THERAPIST

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2022

Physical Therapist

๐ŸŸข
Initial NPI Registration & Enumeration June 10, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1902536279
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2022
Last Update: October 09, 2025
Sole Proprietor: No

Other Physical Therapists in Mansfield

All Physical Therapists in Mansfield

Mailing Address

2122 York Rd Ste 300

Oak Brook, IL 605231925

Phone: 6305751980

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.