OLUSEGUN BODUNRIN AYADI JR. PT, DPT, CSCS
NPI 1639783442
Physical Therapist in Tyler, TX

Active since August 31, 2020Accepts Medicare Assignment
751 S BECKHAM AVE, TYLER, TX 75701(903) 707-8099(903) 258-9194 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 8, 2023, Jul 12, 2021, Sep 1, 2020 (3 updates tracked since 2020).

About Olusegun Bodunrin Ayadi Jr. Pt, Dpt, Cscs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLUSEGUN BODUNRIN AYADI JR. PT, DPT, CSCS (NPI 1639783442) is an individual physical therapist in Tyler, Texas, licensed in Texas (1337885) and active in the NPI registry since August 2020. He is a graduate of Other (2020).

NPPES Registry Identity

NPI1639783442
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameOLUSEGUN BODUNRIN AYADI JR.Credential: PT, DPT, CSCS
Location Address751 S BECKHAM AVETyler, TX 75701-1903
Mailing Address751 S Beckham AveTyler, TX 75701-1903 · (903) 707-8099 · Fax (903) 258-9194
Fax(903) 258-9194
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 31, 2020
Last NPPES UpdateSeptember 8, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2023
NPI 1639783442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in TX · 1337885
Definition
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:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • 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.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
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.
751 S BECKHAM AVE, Tyler, TX 75701

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Olusegun Bodunrin Ayadi Jr. Pt, Dpt, Cscs is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183043680
PECOS Enrollment IDI20201002000726

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
751 S BECKHAM AVE
TYLER, TX 75701
Clinic/Center (Physical Therapy)
751 S BECKHAM AVE
TYLER, TX 75701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Olusegun Ayadi's NPI number?

The NPI number for Olusegun Ayadi is 1639783442. It was assigned to this individual provider in the NPPES registry on August 31, 2020.

Where is Olusegun Ayadi located?

Olusegun Ayadi practices at 751 S Beckham Ave, Tyler, TX 75701. The listed phone number is (903) 707-8099.

What is Olusegun Ayadi's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Olusegun Ayadi enrolled in Medicare?

Yes. Olusegun Ayadi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Olusegun Ayadi accept?

Health plans from Blue Cross and Blue Shield of Texas list Olusegun Ayadi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Olusegun Ayadi was last updated on September 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.