Kelli L Owen, BPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT30256 Issued in FL

Practice address

17751 Murdock Cir
Port Charlotte, FL 33948-1034

Phone

(941) 743-8700

Fax

(941) 743-8850

NPI assigned

Jan 19, 2006

Last updated

Mar 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16545/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/BBBCAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Progressive Physical Therapy Service Inc.

  • Orthopedic Physical Therapist
  • Port Charlotte, FL
  • NPI 1043261233
  NPD
• Fyzbiz, LLC

  dba FYZICAL Therapy and Balance Centers

  • Rehabilitation Clinic/Center
  • Fort Myers, FL
  • NPI 1700248887

  Physical Therapist

  NPD (past)
• Internal Medicine Specialists, Inc

  • Specialist
  • Cuyahoga Falls, OH
  • NPI 1093822454
  NPD (past)
• Pioneer Physicians Network Inc

  • Family Medicine Physician
  • Canton, OH
  • NPI 1174296172
  NPD (past)

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1235119843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9070 W CHEYENNE AVE STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891298935",
            "telephone_number": "702-818-5000",
            "fax_number": "702-818-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17751 MURDOCK CIR",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481034",
            "telephone_number": "941-743-8700",
            "fax_number": "941-743-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "KELLI",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "BPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT-006691",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT30256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Osborne, PA-C
• Katherine Osorio Londono, RBT
• Alia Osseiran, DMD
• Ashley Ottey
• Jennifer Ouellet, LMHC
• Lenee R Owens, SLP
• Owl Behavior Analysis Practice,LLC
• P2 Chiro, LLC (Access Chiropractic)
• Natalie Padilla Garcia, APRN
• Yuleinee Padron, APRN

• Physical Therapist in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.