Individual provider Active NPI

Branden Owen, PT, DPT

  • Physical Therapist
  • Placentia, CA
National Provider Identifier
1629703178
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
292533 Issued in CA
Practice address
774 S Placentia Ave FL 1
Placentia, CA 92870-6826
Phone
(714) 646-8319
NPI assigned
Jul 19, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 292533 CA Primary

Addresses

Primary practice location

774 S Placentia Ave FL 1
Placentia, CA 92870-6826

Mailing address

774 S Placentia Ave FL 1
Placentia, CA 92870-6826

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
292533CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maxum Physical Therapy Inc Physical Therapist CurrentSince Sep 1, 2022 Accepting new patients

Locations

740 S Placentia Ave
Ste 100
Placentia, CA 92870
Phone (714) 646-8318

774 S Placentia Ave
Ste 100
Placentia, CA 92870
Phone (714) 646-8318

774 S Placentia Ave
Fl 1
Placentia, CA 92870
Phone (714) 646-8318

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1629703178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 S PLACENTIA AVE FL 1",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928706826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 S PLACENTIA AVE FL 1",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928706826",
            "telephone_number": "714-646-8319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "BRANDEN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "292533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placentia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.