Randall Edward Owens, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA 25771 Issued in FL

Practice address

15745 Dora Ave
Tavares, FL 32778-4943

Phone

(352) 357-8358

NPI assigned

Jul 11, 2016

Last updated

Jul 11, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Randall Edward Owebs Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1245682574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15745 DORA AVE",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784943",
            "telephone_number": "352-357-8358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15745 DORA AVE",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784943",
            "telephone_number": "352-357-8358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "RANDALL",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA 25771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RANDALL",
            "last_name": "OWEBS",
            "middle_name": "EDWARD",
            "prefix": "MR.",
            "credential": "PTA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Caitlin Marie Oris, ARNP
• Tatiana Ortega Hayes
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• Osprey Lodge LLC (Osprey Lodge)
• Out of the Box Behavioral LLC
• Elizabeth Pabon-Hall
• Ivelisse Pacheco Perez
• Pain and Spine Centers of Florida LLC
• Gerard E Palmer, OTR/L
• Scott E Palmer, DO

• Physical Therapy Assistant in Tavares, FL
• Providers in Tavares, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; 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.