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

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