Active NPI
Linda Carol Owen, P.T.
- Physical Therapist
- Virginia Beach, VA
National Provider Identifier
1811040165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305002340
- Practice address
- 5265 Providence Rd
Suite 503
Virginia Beach, VA 23464-4206 - Phone
- (757) 523-4705
- Fax
- (757) 523-4653
- NPI assigned
- Jan 19, 2007
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305002340 | VA | Primary |
Addresses
Primary practice location
5265 Providence Rd
Suite 503
Virginia Beach, VA 23464-4206
Mailing address
5265 Providence Rd
Suite 503
Virginia Beach, VA 23464-4206
Phone (757) 581-4892
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 239374 | Other | VA | BC BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5265 Providence Rd
Suite 503
Virginia Beach, VA 23464-4210
Phone (757) 523-4705
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305002340 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kempsville Physical Therapy P C | Physical Therapist | Current | Accepting new patients |
| Tidewater Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
| Haygood Physical Therapy, PC | Physical Therapist | Past | Accepting new patients |
Locations
5265 Providence Rd
Ste 503
Virginia Beach, VA 23464
Phone (757) 523-1111
Organizations & group practices 3
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.
-
- Physical Therapist
- Virginia Beach, VA
- NPI 1437202793
-
- Physical Therapist
- Virginia Beach, VA
- NPI 1003860602
-
- Physical Therapist
- Glen Allen, VA
- NPI 1457389595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456185600000",
"number": "1811040165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5265 PROVIDENCE RD",
"address_2": "SUITE 503",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234644206",
"telephone_number": "757-581-4892",
"fax_number": "757-523-4653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5265 PROVIDENCE RD",
"address_2": "SUITE 503",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234644206",
"telephone_number": "757-523-4705",
"fax_number": "757-523-4653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWEN",
"first_name": "LINDA",
"middle_name": "CAROL",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2016-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305002340",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS",
"identifier": "239374",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.