Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Omar Rene Baeza, PTA

Individual provider Physical Therapy Assistant · NPI 1154801900

Omar Rene Baeza, PTA is a Physical Therapy Assistant in Kingwood, Texas. Licensed in Texas. Registered with an NPI since 2018.

Licensed in
TX
In the registry since
2018
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

4122 Echo Mountain Dr
Kingwood, TX 77345-2074
Phone: (737) 216-2977
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2105345 (TX)

Record details

NPI number1154801900
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 20, 2018
Last updated in NPPESMarch 12, 2024
Certification dateMarch 12, 2024
Mailing address4122 Echo Mountain Dr, Kingwood, TX 77345-2074

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