Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ebunoluwa Abodunrin Ogunola, PHYSICALTHERAPIST

Individual provider Physical Therapist · NPI 1902536279

Ebunoluwa Abodunrin Ogunola, PHYSICALTHERAPIST is a Physical Therapist in Private Practice in Mansfield, Texas. Qualified in 2021, 5 years ago. Practices with Athletico Ltd, a 2,186-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
5
Licensed in
TX
In the registry since
2022
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Practice location Address checks out

3020 E Broad St Ste 112
Mansfield, TX 76063-6696
Phone: (682) 422-7580
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1360654 (TX)

Record details

NPI number1902536279
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICALTHERAPIST
Sole proprietorNo
NPI enumeratedJune 10, 2022
Last updated in NPPESOctober 9, 2025
Certification dateOctober 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mansfield