Todd Matthew Owens, PT
Individual provider Active NPI Physical Therapist · Winterville, GA
NPI 1578992129 · NPPES record last updated Nov 4, 2013
Key facts
- NPI
- 1578992129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 105 Moores Grove Rd
Winterville, GA 30683-1517 - Phone
- (706) 742-0082
- Fax
- (706) 742-0083
- NPI assigned
- Nov 4, 2013
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
105 Moores Grove Rd
Winterville, GA 30683-1517
Mailing address
105 Moores Grove Rd
Winterville, GA 30683-1517
Phone (706) 742-0082
Other providers in Winterville, GA
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- Kristen A Paulk Copes
- Phillip H. Durden, DMD, PC
- Dana Pitts
- Lila Frazer Ralston
All providers in Winterville, GA · Physical Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.