Matthew Owens, DPT, SCS, ATC, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1108 N Main St
Cedartown, GA 30125-2039

Phone

(770) 749-0250

Fax

(770) 749-0086

NPI assigned

Sep 26, 2006

Sex

Male

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

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shift Mobile Therapy and Wellness, LLCGroup PAC ID 9739519836, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Shift Mobile Therapy and Wellness, LLC

  • Physical Therapist
  • Rome, GA
  • NPI 1891326542
  Medicare reassignment Care Compare group NPD
• Shift Mobile Therapy and Wellness, LLC

  • Physical Therapist
  • Cartersville, GA
  • NPI 1235086877
  NPD

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253923200000",
    "number": "1255432472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 949",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301620949",
            "telephone_number": "706-802-1991",
            "fax_number": "706-802-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 N MAIN ST",
            "city": "CEDARTOWN",
            "state": "GA",
            "postal_code": "301252039",
            "telephone_number": "770-749-0250",
            "fax_number": "770-749-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DPT, SCS, ATC, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2009-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delores Wright Nowell, C.P.S.
• Laura Oliver
• Stephanie Ann Olson, DMD
• Aubrie Danielle Orellana, APRN, FNP-C
• Bryan Joe Owen, P.T.
• Sherita Owensby
• Gerald David Palatini Jr., D.D.S.
• Heather Leann Parker
• Pulin Patel, MD
• Faith Payne, LMSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2009; 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.