Individual provider Active NPI

Mitchell G Owens Jr., M.S.P.T.

  • Orthopedic Physical Therapist
  • Seattle, WA
National Provider Identifier
1538359369
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT00009618 Issued in WA
Practice address
2214 N 56TH St
Seattle, WA 98103-6204
Phone
(206) 588-0855
Fax
(206) 588-0397
NPI assigned
Jul 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT00009618 WA Primary

Addresses

Primary practice location

2214 N 56TH St
Seattle, WA 98103-6204

Mailing address

2214 N 56TH St
Seattle, WA 98103-6204
Phone (206) 588-0855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT00009618WAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Washington Physical Therapy LLC Orthopedic PastSince Sep 8, 2010 Accepting new patients
Movement Systems Physical Therapy, P.S. PastSince Jan 1, 1998 Accepting new patients

Organizations & group practices 2

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": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1538359369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 N 56TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036204",
            "telephone_number": "206-588-0855",
            "fax_number": "206-588-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 N 56TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036204",
            "telephone_number": "206-588-0855",
            "fax_number": "206-588-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "MITCHELL",
        "middle_name": "G",
        "name_suffix": "Jr.",
        "credential": "M.S.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-27",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "PT00009618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.