Nicole Owens, MSOTR/L, PTA
Individual provider Active NPI Occupational Therapist · Dunlap, TN
NPI 1891019451 · NPPES record last updated Mar 25, 2010
Key facts
- NPI
- 1891019451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 3519 (TN)
- Practice address
- 360 Dell TRL
Dunlap, TN 37327-5511 - Phone
- (423) 949-4651
- NPI assigned
- Mar 25, 2010
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3519 | TN | MD | Optometrist |
| 3008 | TN | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 3008 | TN | |
| Occupational Therapist | 225X00000X | 3519 | TN | Yes |
Addresses
Primary practice location
360 Dell TRL
Dunlap, TN 37327-5511
Mailing address
PO Box 853
Pikeville, TN 37367-0853
Phone (423) 949-2095
Other providers in Dunlap, TN
- Northland Hearing Center, Inc.
- Amanda B Norton
- Marcus Allen Norton
- Barbara Annise Nunley
- Dennis John Ogrodowczyk
- Rochelle Kathleen Parks
- Carly Jordan Payne
- Pediatric Therapy World, Inc
- Kimberly Elizabeth Peters
- Rupelin Pichot
All providers in Dunlap, TN · Occupational Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2010. 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.