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

Individual provider Physical Therapy Assistant · NPI 1487165973

Oludare Ewetusa, PTA is a Physical Therapy Assistant in Fairfax, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2017
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

11166 Fairfax Blvd Ste 500
Fairfax, VA 22030-5017
Phone: (571) 464-0961
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2306604918 (VA)

Record details

NPI number1487165973
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedOctober 24, 2017
Last updated in NPPESNovember 5, 2025
Certification dateNovember 5, 2025

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