Active NPI
Colton Owczarzak, PT, DPT
- Physical Therapist
- Fuquay Varina, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P21243
- Practice address
- 5132 Doughtymews LN
Fuquay Varina, NC 27526 - Phone
- (831) 524-2966
- NPI assigned
- May 14, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P21243 | NC | Primary |
Addresses
Primary practice location
5132 Doughtymews LN
Fuquay Varina, NC 27526
Mailing address
5132 Doughtymews LN
Fuquay Varina, NC 27526-7672
Phone (831) 524-2966
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 Morreene Rd
Durham, NC 27705-4511
Phone (919) 684-8111
144 Sierra Dr
Hendersonville, NC 28739-7964
Phone (866) 525-3175
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P21243 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Duke University Health System, Inc. | Current | Accepting new patients | |
| Iron Varsity, LLC | Physical Therapist | Current | Accepting new patients |
| Youngs Physical Therapy & Sports Rehab, Inc. | Current | Accepting new patients | |
| Duke University Health System, Inc. | Physical Therapist | Current | Accepting new patients |
| Duke University Health System, Inc. | Past | Accepting new patients |
Locations
2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289
40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588
1400 Morreene Rd
Durham, NC 27705
Phone (919) 668-4490
1301 E Arlington Blvd
Greenville, NC 27858
Phone (252) 565-8812
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Durham, NC
- NPI 1558392977
Physical Therapist
-
- Physical Therapist
- Hendersonville, NC
- NPI 1124626148
-
- Physical Therapy Clinic/Center
- Greenville, NC
- NPI 1306192141
-
- Physical Therapist
- Fuquay Varina, NC
- NPI 1003666959
-
- Parenteral & Enteral Nutrition Supplies (DME)
- Durham, NC
- NPI 1427187525
-
- Internal Medicine Physician
- Durham, NC
- NPI 1376574798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711324800000",
"number": "1053058768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5132 DOUGHTYMEWS LN",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275267672",
"telephone_number": "831-524-2966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5132 DOUGHTYMEWS LN",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "27526",
"telephone_number": "831-524-2966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWCZARZAK",
"first_name": "COLTON",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-14",
"last_updated": "2024-03-25",
"certification_date": "2024-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P21243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fuquay Varina, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.