Provider Demographics
NPI:1699540690
Name:NEWMAN, OWEN WAYNE (DPT)
Entity type:Individual
Prefix:DR
First Name:OWEN
Middle Name:WAYNE
Last Name:NEWMAN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6951 TONIA CT
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47710-4562
Mailing Address - Country:US
Mailing Address - Phone:812-459-8231
Mailing Address - Fax:
Practice Address - Street 1:6951 TONIA CT
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47710-4562
Practice Address - Country:US
Practice Address - Phone:812-459-8231
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-20
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDCP025058T225100000X
IN05014662A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist