Austin Nosakhare Omwanghe, PT, DPT is a
Physical Therapist based in Etiwanda, California. Austin Nosakhare Omwanghe is licensed to practice in California (license number PT297773) and his current practice location is
6294 Hidden Brook Pl, Etiwanda, California. He can be reached at his office (for appointments etc.) via phone at
(909) 297-0840.
NPI number for Austin Nosakhare Omwanghe is 1063994655 and his current mailing address is 6294 Hidden Brook Pl, Etiwanda, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063994655.
Healthcare Provider's Profile
Full Name | Austin Nosakhare Omwanghe |
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Gender | Male |
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Speciality | Physical Therapist |
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Location | 6294 Hidden Brook Pl, Etiwanda, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063994655
- Provider Enumeration Date: 08/30/2018
- Last Update Date: 02/05/2021
Medical Identifiers
Medical identifiers for Austin Nosakhare Omwanghe such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063994655 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | PT013536 (Georgia) | Secondary |
225100000X | Physical Therapist | PT297773 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Austin Nosakhare Omwanghe is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Austin Nosakhare Omwanghe, PT, DPT 6294 Hidden Brook Pl, Etiwanda, CA 91739-9427 Ph: (909) 297-0840 | Austin Nosakhare Omwanghe, PT, DPT 6294 Hidden Brook Pl, Etiwanda, CA 91739-9427 Ph: (909) 297-0840 |
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