Active NPI
Michael Christopher Owens, DPT
- Physical Therapist
- Fort Eustis, VA
National Provider Identifier
1689633786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305204032
- Practice address
- 576 Jefferson Ave
Fort Eustis, VA 23604-1602 - Phone
- (757) 314-7500
- Fax
- (757) 314-7517
- NPI assigned
- Mar 20, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305204032 | VA | Primary |
Addresses
Primary practice location
576 Jefferson Ave
Fort Eustis, VA 23604-1602
Mailing address
118 Mattaponi TRL
Williamsburg, VA 23188-1602
Phone (757) 914-6647
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776902400000",
"number": "1689633786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 MATTAPONI TRL",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231881602",
"telephone_number": "757-914-6647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "576 JEFFERSON AVE",
"city": "FORT EUSTIS",
"state": "VA",
"postal_code": "236041602",
"telephone_number": "757-314-7500",
"fax_number": "757-314-7517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "MICHAEL",
"middle_name": "CHRISTOPHER",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-20",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305204032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Eustis, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.