Kaitlin Owen, PT,DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

15676 Issued in NC

Practice address

1409 Audubon Blvd
Wilmington, NC 28403-6749

Phone

(757) 831-4463

NPI assigned

Jun 7, 2015

Sex

Female

Sole proprietor

Yes

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 NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Coastline Therapy Group, LLC

  • Speech-Language Pathologist
  • Wilmington, NC
  • NPI 1730681388

  Physical Therapist

  Medicare reassignment NPD
• Coastal Speech and Reading Center

  • Speech-Language Pathologist
  • Lumberton, NC
  • NPI 1649626466
  NPD (past)
• Ivy North Carolina ABA, LLC

  • Behavior Analyst
  • Wilmington, NC
  • NPI 1629919675
  NPD (past)

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

{
    "created_epoch": "1433635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1396125126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 FERN CT",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284054749",
            "telephone_number": "757-831-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 AUDUBON BLVD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036749",
            "telephone_number": "757-831-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "KAITLIN",
        "credential": "PT,DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-07",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P15676",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "15676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Michael Owen, M.S., LPC
• Elizabeth Cecelia Owen, PSY. D.
• James Conally Owen, MSW, LISW-CP
• John Owen, LCMHCA
• Johnathan Adam Owen, PHARMD
• Meghan Chandler Owen, PHARMD,CPP
• Sarah L Owen, MS LPC
• Allyson Nicole Owens, LCSW-A
• Courtney Saunders Owens, LPC, NCC
• Eleanor Owens

• Physical Therapist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.