Active NPI
Tanika L. Owens, MS, NSCA-CPT
- Kinesiotherapist
- Louisville, KY
National Provider Identifier
1649747882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Kinesiotherapist
- License
- 039048
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 039048 | KY | MD | Kinesiotherapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Home Health Agency
- Louisville, KY
- NPI 1730559428
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.