Tara Brooke Owens, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT-2411 Issued in NV

Practice address

3009 W Charleston Blvd # 120
Las Vegas, NV 89102-1943

Phone

(702) 831-6670

NPI assigned

Nov 23, 2019

Last updated

Nov 23, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialty

Occupational Therapist in Private Practice

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jayme Beal LLC

  dba Rescue My Speech

  • Speech-Language Pathologist
  • Henderson, NV
  • NPI 1962647057

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1574467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574467200000",
    "number": "1558907642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 SABLE MIST CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891441632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 W CHARLESTON BLVD # 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021943",
            "telephone_number": "702-831-6670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1510 W Horizon Ridge Pkwy Ste 160",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890123503",
            "country_code": "US",
            "telephone_number": "702-566-8255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWENS",
        "first_name": "TARA",
        "middle_name": "BROOKE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-23",
        "last_updated": "2019-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NV",
            "license": "OT-2411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanika Owens, RBT
• Sharon Elizabeth Owens
• Shawna Owens
• Simone Owens
• Tane Owens
• Tina Owens
• Trinity Owens
• Ashley Owsley
• Clement Ikechukwu Owunna III
• Peggy Owusu

• Occupational Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Occupational Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.