Charles L Owen Jr., PT, DPT, OCS, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT005706 Issued in GA

Practice address

487 Winn Way
Suite 201
Decatur, GA 30030-1735

Phone

(404) 297-9315

Fax

(404) 297-2741

NPI assigned

Oct 25, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Georgia Luna Care Physical Therapy LLCGroup PAC ID 4082027727, 167 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Georgia Luna Care Physical Therapy LLC

  • Physical Therapist
  • Atlanta, GA
  • NPI 1245826999
  Medicare reassignment Care Compare group
• Cecil M. Anderson III, P.T.

  • Physical Therapist
  • Decatur, GA
  • NPI 1568412369
  Medicare reassignment
• Emory Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Atlanta, GA
  • NPI 1922018423
  Medicare reassignment
• Decatur Physical Therapy & Sports Medicine

  • Physical Therapy Clinic/Center
  • Decatur, GA
  • NPI 1962841064
  NPD (past)

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1124304829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "487 WINN WAY",
            "address_2": "SUITE 201",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301735",
            "telephone_number": "404-297-9315",
            "fax_number": "404-297-2741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "487 WINN WAY",
            "address_2": "SUITE 201",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301735",
            "telephone_number": "404-297-9315",
            "fax_number": "404-297-2741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "CHARLES",
        "middle_name": "L",
        "name_suffix": "Jr.",
        "credential": "PT, DPT, OCS, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-25",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT005706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Outrun Physical Therapy, LLC
• Uyi Ovuede
• Chequita Rochelle Owen-Carter, OTR
• Ashley E Owen, PH.D.
• Brianna Byars Owen, L.P.C.
• Marion K Owen, M.D.
• Audrey L Owens Day, PHD
• Eileen Marie Owens, LPN
• Shanteria Owens, PHD
• Owls Retreat Inc.

• Physical Therapist in Decatur, GA
• Providers in Decatur, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.

Verify at the official NPI Registry.