Regina Owen-Miracle, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A00605 Issued in KY

Practice address

390 Cumberland Dr
Harrogate, TN 37752-6939

Phone

(423) 869-3250

Fax

(423) 869-0595

NPI assigned

Apr 10, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851514699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 CUMBERLAND DR",
            "city": "HARROGATE",
            "state": "TN",
            "postal_code": "377526939",
            "telephone_number": "423-869-3250",
            "fax_number": "423-869-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 CUMBERLAND DR",
            "city": "HARROGATE",
            "state": "TN",
            "postal_code": "377526939",
            "telephone_number": "423-869-3250",
            "fax_number": "423-869-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN-MIRACLE",
        "first_name": "REGINA",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KY",
            "license": "A00605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camryn Enola O'Leary, PA-C
• Emily A Oaks, PA-C
• Claire Chin Oculam, M.D.
• Aduragbemi Babajide Okiji, RN
• Melanie Oneill, MSAT, ATC, LAT
• Doaa Owens
• Jordynn Palmer
• Julienne Parisee
• Kreyaben Patel
• Riddhi Patel, PA-C

• Physical Therapy Assistant in Harrogate, TN
• Providers in Harrogate, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.