Felix Olusegun Odusaga, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05005317A Issued in IN

Practice address

11055 Broadway Ste 3
Crown Point, IN 46307-9177

Phone

(219) 342-2869

NPI assigned

Apr 20, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Creighton University School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Great Lakes Orthopedics Physical Therapy P.C.Group PAC ID 4284999574, 2 clinicians

Orthopedic Therapy Specialists, PCGroup PAC ID 8224020748, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Great Lakes Orthopedics Physical Therapy P.C.

  • Physical Therapist
  • Saint John, IN
  • NPI 1548764376
  Medicare reassignment Care Compare group NPD
• Orthopedic Therapy Specialists, PC

  • Clinic/Center
  • Valparaiso, IN
  • NPI 1861418022
  Medicare reassignment Care Compare group NPD
• Glory Rehabilitation & Consultancy Services,Inc.,

  • Physical Therapist
  • Crown Point, IN
  • NPI 1023235793
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1396962056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416501",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416501",
            "telephone_number": "914-294-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11055 BROADWAY STE 3",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463079177",
            "telephone_number": "219-342-2869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9715 Monroe St",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463075452",
            "country_code": "US",
            "telephone_number": "219-689-3390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODUSAGA",
        "first_name": "FELIX",
        "middle_name": "OLUSEGUN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05005317A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer O'Dor, FNP
• Tiffany Erin O'Hern, PA-C
• Irene Mary O'Neill, MD
• Occupational Therapy Services for Kids
• Julia Carol Odugbesan, PA-C
• Josefina Estrada Offredo, N.P.
• Noreen M Ogden, NP-C
• Olivia Kay Ogden, FNP-C
• Kasey Jae Ogle, FNP-BC
• Jennifer M Okeefe, NP

• Physical Therapist in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.