Individual provider Active NPI

Harlan Scott Owenby, DPT

  • Physical Therapist
  • Tallassee, AL
National Provider Identifier
1407220569
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH7709 Issued in AL
Practice address
1000 Friendship Rd
Tallassee, AL 36078-1265
Phone
(334) 283-8032
Fax
(334) 283-1136
NPI assigned
Nov 30, 2015
Last updated
Sep 7, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH7709 AL Primary

Addresses

Primary practice location

1000 Friendship Rd
Tallassee, AL 36078-1265

Mailing address

1636 Mulberry St
Montgomery, AL 36106-1522
Phone (334) 265-3199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160303001498 AL Practitioner - Physical Therapist in Private Practice 9638475429 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tallassee Rehab PCGroup PAC ID 0840260626, 4 clinicians
Elite Rehab Solutions Partners, LLCGroup PAC ID 7719317585, 4 clinicians

Practice addresses (Care Compare)

1000 Friendship Rd
Tallassee, AL 36078-1265
Phone (334) 283-8032

1120 Airport Dr
Suite 103
Alexander City, AL 35010-3444
Phone (256) 392-4896

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Rehab Inc Physical Therapist CurrentSince Sep 6, 2016 Accepting new patients
Elite Rehab Inc Physical Therapist CurrentSince Sep 6, 2016 Accepting new patients
Tallassee Rehab PC Physical Therapist Current Accepting new patients
Elite Rehab Solutions Partners LLC Physical Therapist CurrentSince Jan 25, 2020 Accepting new patients
Tallassee Rehab Physical Therapist CurrentSince Nov 30, 2015 Accepting new patients
Dadeville Sports Medicine & Physical Therapy Physical Therapist PastSince Jan 25, 2020 Accepting new patients
Tallassee Rehab Physical Therapist PastSince Nov 9, 2025 Accepting new patients

Locations

1120 Airport Dr
Ste 103
Alexander City, AL 35010
Phone (256) 329-8180

309 Mariarden Rd
Dadeville, AL 36853
Phone (256) 825-2303

1636 Mulberry St
Montgomery, AL 36106
Phone (334) 265-3199

935 Highway 431
Ste 1
Roanoke, AL 36274
Phone (334) 799-5853

1000 Friendship Rd
Tallassee, AL 36078
Phone (334) 283-8032

301 Wright St
Tuskegee, AL 36083
Phone (334) 241-5224

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1448841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1407220569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 MULBERRY ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061522",
            "telephone_number": "334-265-3199",
            "fax_number": "334-265-3189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 FRIENDSHIP RD",
            "city": "TALLASSEE",
            "state": "AL",
            "postal_code": "360781265",
            "telephone_number": "334-283-8032",
            "fax_number": "334-283-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENBY",
        "first_name": "HARLAN",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-30",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH7709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallassee, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.