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NPI Code Detail

MEDICARE: GEOFF E OMIATEK PT

MEDICARE: GEOFF E OMIATEK PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT 009572OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PT 009572OTHEROHPHYSICAL THERAPY LICENSE

General Provider Information

NPI Number : 1386632974
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEOFF E OMIATEK PT
Provider Business Mailing Address
First Line : 340 POLARIS PKWY
Second Line :
City : WESTERVILLE
State : OH
Zip : 43082-7971
Country : US
Telephone Number : 614-545-7500
Fax Number : 614-545-7501
Provider Business Practice Location Address
First Line : 4605 SAWMILL RD
Second Line :
City : UPPER ARLINGTON
State : OH
Zip : 43220-2246
Country : US
Telephone Number : 614-545-7900
Fax Number : 614-545-7901
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2005
Last Update Date : 01/13/2025

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Directions to “ GEOFF E OMIATEK PT” Practice Location

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