OLUDARE EWETUSA PTA
NPI 1487165973
Physical Therapy Assistant in Fairfax, VA

Active since October 24, 2017
11166 FAIRFAX BLVD STE 500, FAIRFAX, VA 22030(571) 464-0961 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 5, 2025, Oct 24, 2017 (2 updates tracked since 2017).

About Oludare Ewetusa Pta NPPES

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

OLUDARE EWETUSA PTA (NPI 1487165973) is an individual physical therapy assistant in Fairfax, Virginia, licensed in Virginia (2306604918) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1487165973
Entity TypeIndividualMale
Primary Taxonomy225200000X
Provider Legal NameOLUDARE EWETUSACredential: PTA
Location Address11166 FAIRFAX BLVD STE 500Fairfax, VA 22030-5017
Mailing Address11166 Fairfax Blvd Ste 500Fairfax, VA 22030-5017 · (571) 464-0961
Sole ProprietorYes
Enumeration DateOctober 24, 2017
Last NPPES UpdateNovember 5, 20252 updates tracked since enumeration
NPPES CertifiedNovember 5, 2025
NPI 1487165973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225200000X
License Licensed in VA · 2306604918
Definition

(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 the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.

11166 FAIRFAX BLVD STE 500, Fairfax, VA 22030

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 17

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

Home Health
11166 FAIRFAX BLVD STE 500
FAIRFAX, VA 22030
Clinic/Center (Mental Health (Including Community Mental Health Center))
11166 FAIRFAX BLVD STE 500
FAIRFAX, VA 22030
Nurse Practitioner (Psychiatric/Mental Health)
11166 FAIRFAX BLVD STE 500
FAIRFAX, VA 22030
Durable Medical Equipment & Medical Supplies
11166 FAIRFAX BLVD STE 500
FAIRFAX, VA 22030
Marriage & Family Therapist
11166 FAIRFAX BLVD STE 500
FAIRFAX, VA 22030
Nurse Practitioner (Family)
11166 FAIRFAX BLVD STE 500
FAIRFAX, VA 22030
In Home Supportive Care
11166 FAIRFAX BLVD STE 500
FAIRFAX, VA 22030
Social Worker (Clinical)
11166 FAIRFAX BLVD STE 500
FAIRFAX, VA 22030

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 Oludare Ewetusa's NPI number?

The NPI number for Oludare Ewetusa is 1487165973. It was assigned to this individual provider in the NPPES registry on October 24, 2017.

Where is Oludare Ewetusa located?

Oludare Ewetusa practices at 11166 Fairfax Blvd Ste 500, Fairfax, VA 22030. The listed phone number is (571) 464-0961.

What is Oludare Ewetusa's specialty?

The primary specialty registered for this NPI is Physical Therapy Assistant with taxonomy code 225200000X.

When was this NPI record last updated?

The NPPES record for Oludare Ewetusa was last updated on November 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.