MEDICARE: DR. AUSTINE OMEBEN

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
1	225100000X	Physical Therapist
2	225100000X	Physical Therapist	40QA02206200	NJ

General Provider Information

NPI Number	:	1417707233
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AUSTINE OMEBEN

Provider Business Mailing Address
First Line	:	PO BOX 487
Second Line	:
City	:	HIGH SPRINGS
State	:	FL
Zip	:	32655-0487
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5800 GRANITE PKWY STE 1000
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-6619
Country	:	US
Telephone Number	:	561-316-7405
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2024
Last Update Date	:	09/06/2024

Similar Medicare Providers

1922404664 — RELIANT PRO REHAB LLC
Practice Location Address:

5800 GRANITE PKWY STE 1000
PLANO, TX
75024-6619

Practice Phone: 972-890-9095
Practice Fax:

1265881197 — RELIANT PRO REHAB LLC
Practice Location Address:

5800 GRANITE PKWY STE 1000
PLANO, TX
75024-6619

Practice Phone: 972-890-9095
Practice Fax: 866-422-5051

1154062651 — DR. DAVID BURTON TATE PT, DPT
Practice Location Address:

5800 GRANITE PKWY STE 1000
PLANO, TX
75024-6619

Practice Phone: 972-890-9095
Practice Fax:

1336849033 — KENDRA D BARNUM M.S., CCC-SLP
Practice Location Address:

5800 GRANITE PKWY STE 1000
PLANO, TX
75024-6619

Practice Phone: 405-317-2610
Practice Fax:

1235786054 — ANGELINA MARIA WILSON M.S. CCC-SLP
Practice Location Address:

250 LAWRENCE AVE
PARK FALLS, WI
54552-1431

Practice Phone: 715-762-2449
Practice Fax:

1366080962 — EATING RECOVERY CENTER OF TEXAS
Practice Location Address:

5120 LEGACY DRIVE
PLANO, TX
75024

Practice Phone: 877-825-8584
Practice Fax:

Directions to “ DR. AUSTINE OMEBEN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.