OLUKAYODE FASUBA
NPI 1720651649
Physical Therapist in Matthews, NC
About Olukayode Fasuba NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OLUKAYODE FASUBA (NPI 1720651649) is an individual physical therapist in Matthews, North Carolina, licensed in North Carolina (P17780) and active in the NPI registry since July 2021.
NPPES Registry Identity
Specialties & Licenses 2
- 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.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Olukayode Fasuba is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Olukayode Fasuba reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Louisville, KY 40222
- Reassigned Medicare billing, North Carolina enrollment
- 165 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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 Olukayode Fasuba's NPI number?
The NPI number for Olukayode Fasuba is 1720651649. It was assigned to this individual provider in the NPPES registry on July 19, 2021.
Where is Olukayode Fasuba located?
Olukayode Fasuba practices at 6030 Harkey Rd Apt 8201, Matthews, NC 28105. The listed phone number is (252) 347-1595.
What is Olukayode Fasuba's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Olukayode Fasuba enrolled in Medicare?
Yes. Olukayode Fasuba is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Olukayode Fasuba's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Olukayode Fasuba reassigns Medicare benefits to Paragon Outpatient Rehabilitation Services, LLC (Louisville, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Olukayode Fasuba's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Olukayode Fasuba was last updated on July 2, 2024. 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.