Gretta Cozette Owen

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2971267 Issued in ID

Practice address

2277 E Lincoln Rd
Idaho Falls, ID 83401-2202

Phone

(208) 701-1800

NPI assigned

Aug 22, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Pick PT Physical Therapy LLC

  • Physical Therapist
  • Idaho Falls, ID
  • NPI 1477183168
  NPD
• Pick PT

  • Physical Therapist
  • Rexburg, ID
  • NPI 1861977480
  NPD (past)

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

{
    "created_epoch": "1755820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1508744152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 N CURLEW DR APT 2202",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834011432",
            "telephone_number": "865-256-5798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2277 E LINCOLN RD",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834012202",
            "telephone_number": "208-701-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "GRETTA",
        "middle_name": "COZETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-22",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "ID",
            "license": "2971267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahmed Othman, MD
• Janet Lynn Otto, MD
• Breann Kay Ouckama
• Jennifer Overton, MS, CCC-SLP
• Owen Dental, PC
• John Owen, DDS
• Jessica Owsley, LMSW
• Oxford Dental Care
• Craig Richard Kai Pack, D.O.
• David Thomas Packer, BS

• Physical Therapy Assistant in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Physical Therapy Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; 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.