Individual provider · Type 1 NPI

Oludare Ewetusa, PTA

Physical Therapy Assistant · Fairfax, VA

NPI number 1487165973 Active

Practice location

11166 Fairfax Blvd Ste 500
Fairfax, VA 22030-5017

Call (571) 464-0961 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2306604918 (VA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

19 other providers at this address

Other physical therapy assistant providers in Fairfax

See all in Fairfax →

About NPI 1487165973

Oludare Ewetusa, PTA's National Provider Identifier is 1487165973, issued on Oct 24, 2017. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Fairfax, VA. The record was last updated on Nov 5, 2025.