NPIMap

Organization Active NPI

Owens Physical Therapy Specialists, LLC

  • Physical Therapist
  • Grand Rapids, MI
National Provider Identifier
1629220835
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501010836 Issued in MI
Legal business name
OWENS PHYSICAL THERAPY SPECIALISTS, LLC
Practice address
2849 Michigan St NE
Suite 100
Grand Rapids, MI 49506-1216
Phone
(616) 956-0400
Fax
(616) 956-0404
NPI assigned
Oct 21, 2008
Last updated
Dec 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2008

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

Authorized official

Name
Mr. James Owens, P.T.NPI 1588722136
Title
Member/Owner
Phone
(616) 956-0400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501010836 MI Primary

Addresses

Primary practice location

2849 Michigan St NE
Suite 100
Grand Rapids, MI 49506-1216

Mailing address

2849 Michigan St NE
Suite 100
Grand Rapids, MI 49506-1216
Phone (616) 956-0400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140407001276 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6002976412 Receives reassigned benefits from 4 practitioners
Practice locations: Grand Rapids, MI

National Provider Directory

National Provider Directory

Locations

2849 Michigan St NE
Ste 10
Grand Rapids, MI 49506

2849 Michigan St NE
Ste 100
Grand Rapids, MI 49506
Phone (616) 956-0400

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228089600000",
    "number": "1629220835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2849 MICHIGAN ST NE",
            "address_2": "SUITE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061216",
            "telephone_number": "616-956-0400",
            "fax_number": "616-956-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2849 MICHIGAN ST NE",
            "address_2": "SUITE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061216",
            "telephone_number": "616-956-0400",
            "fax_number": "616-956-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWENS PHYSICAL THERAPY SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-12-01",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "616-956-0400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501010836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.