Owen Bartholomew, DPT,PT
Individual provider Active NPI Physical Therapist · Decaturville, TN
NPI 1770458044 · NPPES record last updated Oct 7, 2025
Key facts
- NPI
- 1770458044
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 16592 (TN)
- Practice address
- 524 W Main St
Decaturville, TN 38329-8101 - Phone
- (731) 852-3591
- NPI assigned
- Oct 7, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16592 | TN | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 16592 | TN | Yes |
Addresses
Primary practice location
524 W Main St
Decaturville, TN 38329-8101
Mailing address
1668 Tomlin Chapel Rd
Parsons, TN 38363-4064
Phone (731) 733-4085
Other providers in Decaturville, TN
- Stacey Hicks Bennett
- Black Wolf Healthcare LLC
- Robert Bodhi
- Jessica Brown
- Chelsey Sparks Dba Decaturville Family Practice
All providers in Decaturville, TN · Physical Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.