Stacey M Owen, LPTA
Individual provider Active NPI Physical Therapy Assistant · Altavista, VA
NPI 1801353040 · NPPES record last updated Feb 25, 2019
Key facts
- NPI
- 1801353040
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2306604926
- Practice address
- 1317 Lola Ave
Altavista, VA 24517-1352 - Phone
- (434) 369-6651
- NPI assigned
- Feb 25, 2019
- Sex
- Female
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2306604926 | Yes |
Addresses
Primary practice location
1317 Lola Ave
Altavista, VA 24517-1352
Mailing address
105 Hillview Dr
Lynchburg, VA 24502-4107
Other providers in Altavista, VA
- Julian W. Fields D.D.S., LTD.
- McKayla Marie Kimball
- Anna Legard
- Allison Maddy
- Katelyn Overstreet
- Palmer Chiropractic Center, Inc.
- Adam Wood Palmer
- Wendy Lee Payne
- Silvy Perkins
- Jessie Pierce
All providers in Altavista, VA · Physical Therapy Assistant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2019. 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.