Individual provider Active NPI

Tanika L. Owens, MS, NSCA-CPT

  • Kinesiotherapist
  • Louisville, KY
National Provider Identifier
1649747882
Registry record updated Oct 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
KinesiotherapistTaxonomy code 226300000X
License
039048 Issued in KY
Practice address
1022 Dumesnil St.
Louisville, KY 40210-1517
Phone
(502) 931-3834
Fax
(502) 637-5911
NPI assigned
Oct 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Kinesiotherapist 226300000X 039048 KY Primary

Addresses

Primary practice location

1022 Dumesnil St.
Louisville, KY 40210-1517

Mailing address

1022 Dumesnil St.
Louisville, KY 40210-1517
Phone (502) 931-3834

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
039048KYMDKinesiotherapist

Practice roles

OrganizationSpecialtyStatusNew patients
TNT Fitness Training, LLC Past Accepting new patients

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": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1649747882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 DUMESNIL ST.",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402101517",
            "telephone_number": "502-931-3834",
            "fax_number": "502-637-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 DUMESNIL ST.",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402101517",
            "telephone_number": "502-931-3834",
            "fax_number": "502-637-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "TANIKA",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "MS, NSCA-CPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-25",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "226300000X",
            "taxonomy_group": "",
            "desc": "Kinesiotherapist",
            "state": "KY",
            "license": "039048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; 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.