Robert Dustin Owen, OTD, OTR/L

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

4214 Issued in TN

Practice address

177 Gorgas Ave
Fort Campbell, KY 42223-1403

Phone

(270) 640-1205

NPI assigned

Oct 1, 2012

Sex

Male

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

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1881945749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5419 ANCHORAGE DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372201908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 GORGAS AVE",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "422231403",
            "telephone_number": "270-640-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "ROBERT",
        "middle_name": "DUSTIN",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-01",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "TN",
            "license": "4214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Orton, PSY.D., ABPP
• Rastislav Osadsky, MD
• Katey Della Giustina Osborne, MD
• Kyler Osborne
• Richard Overturf, LCSW
• Robert William Owens, MD
• Patrick David Owsiak, MD
• Katharine Marie Pabst, APRN
• George Robert Painter, DDS
• Andrew David Palalay, DDS

• Physical Rehabilitation Occupational Therapist in Fort Campbell, KY
• Providers in Fort Campbell, KY by specialty
• Physical Rehabilitation Occupational Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; 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.