Individual provider Active NPI

Joanna Deloris James-Owens, PTA

  • Physical Therapy Assistant
  • Conway, SC
National Provider Identifier
1093055451
Registry record updated Aug 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2471 Issued in SC
Practice address
1118 Boundary St
Apt 15
Conway, SC 29526-3356
Phone
(843) 340-3068
NPI assigned
Feb 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 003069 GA
Physical Therapy Assistant 225200000X 2471 SC Primary
Physical Therapy Assistant 225200000X 5359 NC

Addresses

Primary practice location

1118 Boundary St
Apt 15
Conway, SC 29526-3356

Mailing address

1118 Boundary St
Apt 15
Conway, SC 29526-3356
Phone (843) 340-3068

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5359NCMDChiropractor
003069GAMDPhysical Therapy Assistant
2471SCMDMedical Physician Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406851200000",
    "number": "1093055451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 BOUNDARY ST",
            "address_2": "APT 15",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295263356",
            "telephone_number": "843-340-3068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 BOUNDARY ST",
            "address_2": "APT 15",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295263356",
            "telephone_number": "843-340-3068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES-OWENS",
        "first_name": "JOANNA",
        "middle_name": "DELORIS",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-21",
        "last_updated": "2014-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "003069",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "2471",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "5359",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.