Active NPI
Jonathan Mark Owens, OT
- Pediatric Occupational Therapist
- Bluff Dale, TX
National Provider Identifier
1780802405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 110424
- Practice address
- 1460 Lighthouse Dr
Bluff Dale, TX 76433-4227 - Phone
- (817) 269-9138
- NPI assigned
- Apr 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 110424 | TX | |
| Pediatric Occupational Therapist | 225XP0200X | 110424 | TX | Primary |
Addresses
Primary practice location
1460 Lighthouse Dr
Bluff Dale, TX 76433-4227
Mailing address
1460 Lighthouse Dr
Bluff Dale, TX 76433-4227
Phone (817) 269-9138
Other names 1
- Jon Owens
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110424 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1780802405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1460 LIGHTHOUSE DR",
"city": "BLUFF DALE",
"state": "TX",
"postal_code": "764334227",
"telephone_number": "817-269-9138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1460 LIGHTHOUSE DR",
"city": "BLUFF DALE",
"state": "TX",
"postal_code": "764334227",
"telephone_number": "817-269-9138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "JONATHAN",
"middle_name": "MARK",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-20",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "110424",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "TX",
"license": "110424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JON",
"last_name": "OWENS",
"credential": "OT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Bluff Dale, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.