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

Individual provider Physical Therapist · NPI 1619942695

Mr. Ebenezer Oguntuase, RPT is a Physical Therapist in Private Practice in Vineland, New Jersey. Qualified in 1987, 39 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
39
Licensed in
NJ
In the registry since
2006
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Practice location Address checks out

611 E Landis Ave
Vineland, NJ 08360-8004
Phone: (856) 794-2100
Fax: (856) 794-2120
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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 40QA00598500 (NJ)

Record details

NPI number1619942695
Entity typeIndividual (Type 1)
GenderMale
Credentials RPT
Sole proprietorYes
NPI enumeratedFebruary 22, 2006
Last updated in NPPESMay 11, 2011
Mailing address611 E Landis Ave, Vineland, NJ 08360-8004

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Vineland